MR. KENNETH WADE WILSON, COTA-L
Occupational Therapy at Avignon Dr, Ridgeland, MS

License number
Mississippi TA1911
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address 2
711 Avignon Dr, Ridgeland, MS 39157
37 Northwood Dr, Harvey, MS 39465
Phone
(601) 605-6777
(601) 605-8869 (Fax)
(601) 584-6725
National Provider ID: 1205980141
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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