LICATA WILSON

Occupational Therapy Assistant

Active Individual
NPI: 1093054249

Practice Address

210 DAVIS DR
West Plains, MO 65775

Phone: (417) 256-2152

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 2008023618 (MO)

Frequently Asked Questions

NPI 1093054249 is the National Provider Identifier for LICATA WILSON, a Occupational Therapy Assistant provider located in West Plains, MO. This NPI was enumerated on February 7, 2013.
LICATA WILSON practices at 210 DAVIS DR, West Plains, MO 65775.

Quick Facts

NPI
1093054249
Type
Individual
Enumerated
Feb 7, 2013
Last Updated
Feb 7, 2013

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