Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ALICE WILSON, OTR
ActiveMRS. MARY ALICE WILSON, OTR is a Occupational Therapist healthcare provider located in PORT LAVACA, Texas. NPI 1912216771 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PORT LAVACA, TX
Registration Details
- NPI Number
- 1912216771
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2010 (15.887712023017 yrs)
- Last Updated
- Sep 28, 2010
- License
-
100729 (TX)
Practice Information
- Address
-
128 N COMMERCE STPORT LAVACA, TX, 779793435Browse TX providers · Browse ZIP 77979
- Phone
- 3615521977
- Fax
- 3615527686
- Primary Specialty
-
Occupational Therapist
225X00000X
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.