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Contact Information

JENNIFER M WILSON
2 HEMLOCK DR
STAMFORD, CT06902-1811
 Phone: 203-964-9646
 Fax: 203-964-9646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER M WILSON · (Female)

NPI # 1235474917
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2012
Last updated 07/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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