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Contact Information

STACI T WILSON, OTR, MOT, CHES
13212 LONE CREEK LN
PEARLAND, TX77584-3476
 Phone: 713-280-3663
 Fax: 855-710-7269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision

225XL0004X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STACI T WILSON · (Female)

NPI # 1598163511
Status Active
Credentials OTR, MOT, CHES
Entity Individual
Enumeration date 12/08/2014
Last updated 02/04/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 112297
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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