Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amie L Wilson, OTR

Individual provider Occupational Therapist · NPI 1629380167

Amie L Wilson, OTR is an Occupational Therapist in Random Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

402 First St
Random Lake, WI 53075-0323
Phone: (920) 994-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3556-26 (WI)

Record details

NPI number1629380167
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJuly 13, 2010
Last updated in NPPESJuly 13, 2010

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