Angelique Marie Wilcox OTR/L, OTD

NPI 1417228628 - Occupational Therapist - 225X00000X

NPI Details
NPI 1417228628
Gender Female
Enumeration Date 01/19/2012
Last Updated 01/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
895 POWERS BLVD
WAVERLY TN, 37185-1018, US
Phone (931) 296-7552
Fax
Business Location
1489 NICHOLS DR APT B
CLARKSVILLE TN, 37042-1894, US
Phone (419) 306-7355
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Tennessee
License Number 4488
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According to our database, Mrs. Angelique Marie Wilcox OTR/L, OTD NPI is 1417228628, taxonomy code is 225X00000X and license number is 4488, license state is located at Tennessee. Angelique Marie Wilcox OTR/L, OTD physically located at 895 Powers Blvd, Waverly TN, 37185-1018. NPI Number Angelique Marie Wilcox OTR/L, OTD has the Individual type.

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1417228628 NPI number is provided on an as is basis without warranty of any kind. 1417228628 is maintained by the National Plan & Provider Enumeration System. The contents of Angelique Marie Wilcox OTR/L, OTD are for informational purposes only.