Individual provider · Type 1 NPI

Maxwell Wilson

Occupational Therapist · Longview, WA

NPI number 1417819848 Active

Practice location

200 Triangle Center #270
Longview, WA 98632-2367

Fax (360) 501-3755

Mailing address

1615 Delaware St
Longview, WA 98632-2367

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X61642856 (WA)

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 1417819848

Maxwell Wilson's National Provider Identifier is 1417819848, issued on Nov 24, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Longview, WA. The record was last updated on Jan 23, 2026.