| NPI | 1659769628 |
|---|---|
| Former Name | JO LEE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2783) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR 2783) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-07-26 |