Individual provider · Type 1 NPI

Carolyn Anne Wilson, OTR/L

Occupational Therapist · South Portland, ME

NPI number 1174415061 Active

Practice location

119 Gannett Dr
South Portland, ME 04106-6942

Call (207) 773-0040 Map

Fax (207) 661-4630

Other practice locations

  • 584 Roosevelt Trl Unit 2, Windham, ME 04062-4983 · (207) 661-2828
  • 114 Maine St Ste 4, Brunswick, ME 04011-2029 · (207) 607-5800

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT4846 (ME)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174415061

Carolyn Anne Wilson, OTR/L's National Provider Identifier is 1174415061, issued on Jul 16, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Portland, ME. The record was last updated on Oct 28, 2025.