Wilson, Alexander A

Wilson, Alexander A is an sole proprietor health care provider with primary practice located at 91 Moraine St , Jamaica Plain MA 02130-4329. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Wilson, Alexander A can be contacted via phone (303) 669-8863.

Contact Information

Primary practice address
91 Moraine St Jamaica Plain MA 02130-4329
Phone: (303) 669-8863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 9861 Massachusetts

Profile Details

NPI number 1720218811
LBN Legal business name Wilson, Alexander A
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720218811 NPPES
Other 251638 NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY

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