NPI 1235331166
Jennifer Lynn Wilson, OTAL
Practice location
- Address
- 700 Mt Hope Ave Suite 320, Bangor, ME 04401-5680
- Phone
- (207) 941-2952
- Fax
- (207) 941-2955
- Mailing address
- 1048 Union St Suite 5, Bangor, ME 04401
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1235331166
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jun 2007
- Record last updated
- 9 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.