Kendra Ann Wilson
Occupational Therapist in Worcester, MA. Individual provider (NPI-1).
NPI number1043083348
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1043083348
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kendra Ann Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2023
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTL15122 | MA | Yes |
| 225X00000X | Occupational Therapist | OT24428 | FL | |
| 225X00000X | Occupational Therapist | OT02206 | RI | |
| 225X00000X | Occupational Therapist | 3489 | NH |
Practice location
18 Chestnut St Ste 200Worcester, MA 01608-1557
Phone 508-757-2756
Mailing address
7 Deer Hill LnCarver, MA 02330-1704
Phone 339-832-8741
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