Kristine Marie Wilson in Eden Prairie - Occupational Therapist

Kristine Marie Wilson - NPI 1457565228

Kristine Marie Wilson is a Occupational Therapist in Eden Prairie, Minnesota. Kristine Marie Wilson practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kristine Marie Wilson is 1457565228. The last update date is 2015-04-10.

Kristine Marie Wilson's current location address is 6458 City West Pkwy, Eden Prairie, Minnesota. You can contact this provider via phone number 6127677222. The mailing address for Kristine Marie Wilson is 6458 City West Pkwy, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristine Marie Wilson
Address 6458 City West Pkwy, Eden Prairie, Minnesota
Phone Number 6127677222
Fax Number
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1457565228
Provider Enumeration Date 2007-05-10
Last Updated Date 2015-04-10

Provider Mailing Address Detail

Address 6458 City West Pkwy
City Eden Prairie
State Minnesota (MN)
Post Code 553443245
Phone Number 6127677222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 104701
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201405 MN MN LICENSURE
104701 MN OT LICENSURE

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FAQs about Kristine Marie Wilson

What is the unique identification code assigned to Kristine Marie Wilson by the Centers for Medicare & Medicaid Services?

The Kristine Marie Wilson has been issued the NPI (National Provider Identifier) 1457565228. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kristine Marie Wilson's physical address?

The Kristine Marie Wilson is physically located at 6458 City West Pkwy, in the city of Eden Prairie, MN, with the postal code 553443245.

What is Kristine Marie Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kristine Marie Wilson's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.

On what date did the Kristine Marie Wilson receive the assignment of its 1457565228 from the Centers for Medicare & Medicaid Services?

The Kristine Marie Wilson was issued its 1457565228 by the Centers for Medicare & Medicaid Services on 2007-05-10.

When was the information related to Kristine Marie Wilson most recently updated or refreshed?

The details pertaining to the Kristine Marie Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-10.

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