National Provider Identifier
Elizabeth Ruth Wilson
Elizabeth Ruth Wilson is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 332-7400.
Profile Overview
- NPI
- 1972916807
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- June 09, 2014
- Last Updated
- December 19, 2024
Practice Location
- 131 Drumlin Ct Ste 100
- Newark, NY 14513-1863
Phone: (315) 332-7400
Mailing Address
- 131 Drumlin Ct
- Newark, NY 14513-1863
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1972916807
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Elizabeth
- Middle Name
- Ruth
- Mailing Street Address
- 131 Drumlin Ct
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1863
- Mailing Country
- US
- Practice Street Address
- 131 Drumlin Ct Ste 100
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1863
- Practice Country
- US
- Practice Phone
- (315) 332-7400
- Enumeration Date
- June 09, 2014
- Last Updated
- December 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)