Individual provider · Type 1 NPI

Tara Lousie Wilson, OTD, OTR

Occupational Therapist · Fancy Farm, KY

NPI number 1356296735 Active

Practice location

510 State Route 1686 W
Fancy Farm, KY 42039-9437

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1356296735

Tara Lousie Wilson, OTD, OTR's National Provider Identifier is 1356296735, issued on Mar 2, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fancy Farm, KY. The record was last updated on Mar 2, 2026.