Individual provider · Type 1 NPI

Kristin Lynnette Mauck Wilson, OTRL

Occupational Therapist · Dayton, OH

NPI number 1275655276 Active

Practice location

1390 King Tree Dr
Dayton, OH 45405-1401

Mailing address

5306 Mangrove Way
Dayton, OH 45431-3533

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT. 006762 (OH)
Occupational Therapist 225X00000X0119004314 (VA)

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 1275655276

Kristin Lynnette Mauck Wilson, OTRL's National Provider Identifier is 1275655276, issued on Apr 3, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.