Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH WADE WILSON, COTA-L
Active Sole ProprietorMR. KENNETH WADE WILSON, COTA-L is a Occupational Therapy Assistant healthcare provider located in RIDGELAND, Mississippi. NPI 1205980141 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · RIDGELAND, MS
Registration Details
- NPI Number
- 1205980141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.51930752804 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TA1911 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 AVIGNON DRRIDGELAND, MS, 391575120Browse MS providers · Browse ZIP 39157
- Phone
- 6016056777
- Fax
- 6016058869
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in RIDGELAND, MS
| Name | Credential | NPI |
|---|---|---|
| MS. JUAN Z EVANS | COTA-L | 1871643965 |
| MRS. ROSIE CUYLER | COTA-L | 1275683450 |
| MRS. ERIN NIQUANE TRIPLETT | COTA-L | 1386794964 |
| MR. JAY EVAN WALKER | COTA-L | 1306996996 |
| MR. ALAN M BRYANT | COTA-L | 1376693127 |
| MRS. HOLLY MCGREGOR RAINEY | COTA-L | 1770637050 |
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.