Individual provider · Type 1 NPI

Amie L. Wilson, OTR

Occupational Therapist · Random Lake, WI

NPI number 1629380167 Active

Practice location

402 First St
Random Lake, WI 53075-0323

Mailing address

W7533 Cherry Hill Dr
Adell, WI 53001-1294

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3556-26 (WI)

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 1629380167

Amie L. Wilson, OTR's National Provider Identifier is 1629380167, issued on Jul 13, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Random Lake, WI. The record was last updated on Jul 13, 2010.