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Search › Missouri › Occupational Therapy Assistant

Licata Wilson

NPI 1093054249 · on the registry since 2013 · sole proprietor

Practice

Address
210 Davis Dr
West Plains, MO 65775
Phone
(417) 256-2152
Organisation at this address
West Vue Inc
West Vue, Inc
James Scott Wiley
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri