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Gladstone Wilson, OTR/L

NPI 1922663376 · on the registry since 2019 · sole proprietor

Practice

Address
14855 262nd Pl
Rosedale, NY 11422
Phone
(347) 275-0492

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-01

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 New York