Demetrius Dante Wilson, COTA/L
Occupational Therapy Assistant in Reading, PA. Individual provider (NPI-1).
NPI number1669933404
StatusActive
Last updated in NPPESMar 26, 2019
Details
- NPI
- 1669933404
- Entity type
- Individual (NPI-1)
- Name
- Mr. Demetrius Dante Wilson
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2019
- Last updated
- Mar 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | OP003322L | PA | Yes |
Practice location
5485 Perkiomen AveReading, PA 19606-3676
Phone 610-779-3993
Mailing address
5485 Perkiomen AveReading, PA 19606-3676
Phone 610-779-3993
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All 20 Occupational Therapy Assistant providers in Reading · All 2,447 providers in Reading
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