Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY RENAE WILSON, OTR
Active Sole ProprietorMRS. KIMBERLY RENAE WILSON, OTR is a Pediatric Occupational Therapist healthcare provider located in BENTON, Louisiana. NPI 1508159229 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · BENTON, LA
Registration Details
- NPI Number
- 1508159229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2011 (15.210197861574 yrs)
- Last Updated
- Aug 7, 2018
- License
-
3055 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 COUNTRY CLUB DRBENTON, LA, 710069463Browse LA providers · Browse ZIP 71006
- Phone
- 3185079909
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.