Licata Jeane Wilson
Licata Jeane Wilson is an Occupational Therapy Assistant in West Plains, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2013
Practice location Address checks out
210 Davis DrWest Plains, MO 65775-2241
Phone: (417) 256-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2008023618 (MO) |
|---|
Record details
| NPI number | 1093054249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2013 |
| Last updated in NPPES | February 7, 2013 |
| Mailing address | 210 Davis Dr, West Plains, MO 65775-2241 |
Other providers in West Plains
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Mrs. Marcela Sargent, COTA
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Ashley Shrable, COTA
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Shelly Renee Simpson, COTA
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Ryan Swierk
210 Davis Dr, West Plains, MO 65775-2241 · (417) 256-2152