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

Mrs. Mary Alice Wilson, OTR

Individual provider Occupational Therapist · NPI 1912216771

Mrs. Mary Alice Wilson, OTR is an Occupational Therapist in Port Lavaca, Texas. Licensed in Texas. Registered with an NPI since 2010.

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

See every abbreviation used in this directory →

Practice location Address checks out

128 N Commerce St
Port Lavaca, TX 77979-3435
Phone: (361) 552-1977
Fax: (361) 552-7686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 100729 (TX)

Record details

NPI number1912216771
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESSeptember 28, 2010