BRIAN M WILSON

LEWISTON, ME
NPI1669506028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ME  OT1031)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
MR. BRIAN M WILSON OTR
33 ROGER ST
LEWISTON, ME 04240-3328
Phone number: 207-784-0108
Mailing Address
MR. BRIAN M WILSON OTR
18 MOREAU AVE
LEWISTON, ME 04240-4032
Phone number: 207-784-8091