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Contact Information

NICOLE M WILSON, COTA/L
9901 272ND PL NW
STANWOOD, WA98292
 Phone: 360-510-3518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

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

NPI # 1578081964
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 09/06/2017
Last updated 09/06/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 60787684
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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