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Contact Information

MICAELA WILSON, COTA
410 PEARL STREET
COLUMBIA, LA71418
 Phone: 318-502-6845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICAELA WILSON · (Female)

NPI # 1457059552
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 02/17/2023
Last updated 02/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 331892
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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