National Provider Identifier
Jane M Wilson, CTRS
Jane M Wilson, CTRS is listed in the NPPES registry with a primary specialty of Recreation Therapist in Canandaigua, NY and a listed phone number of (585) 393-7904.
Profile Overview
- NPI
- 1780771311
- Provider Type
- Individual
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- October 06, 2006
- Last Updated
- July 08, 2007
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7904
Mailing Address
- 20 Broad St
- Clifton Springs, NY 14432-1104
Specialties
- Recreation Therapist (225800000X)
Full Record
- NPI
- 1780771311
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Jane
- Middle Name
- M
- Credential
- CTRS
- Mailing Street Address
- 20 Broad St
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1104
- Mailing Country
- US
- Mailing Phone
- (585) 393-7904
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7904
- Enumeration Date
- October 06, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Recreation Therapist (225800000X)