DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LICATA JEANE WILSON

Active Sole Proprietor

LICATA JEANE WILSON is a Occupational Therapy Assistant healthcare provider located in WEST PLAINS, Missouri. NPI 1093054249 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WEST PLAINS, MO

Registration Details

NPI Number
1093054249
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2013 (13.474157047107 yrs)
Last Updated
Feb 7, 2013
License
2008023618 (MO)
Sole Proprietor
Yes

Practice Information

Address
210 DAVIS DR
WEST PLAINS, MO, 657752241
Browse MO providers · Browse ZIP 65775
Phone
4172562152
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in WEST PLAINS, MO

Name Credential NPI
MRS. DORIS MARIE LENIHAN COTA 1174534390
BRUCE AUTRY 1295873743
MARTHA ANN CISCO 1689712135
MRS. MARCELA SARGENT COTA 1912283995
AMY ELIZABETH DRAGOS COTA/L 1376811398
MRS. JAIME E LILE COTA 1023439387
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.