Mrs Mary Alice Wilson, OTR is a
Occupational Therapist based in Port Lavaca, Texas. Mrs Mary Alice Wilson is licensed to practice in Texas (license number 100729) and her current practice location is
128 N Commerce St, Port Lavaca, Texas. She can be reached at her office (for appointments etc.) via phone at
(361) 552-1977.
NPI number for Mrs Mary Alice Wilson is 1912216771 and her current mailing address is Po Box 3666, Victoria, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912216771.
Healthcare Provider's Profile
| Full Name | Mrs Mary Alice Wilson |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 128 N Commerce St, Port Lavaca, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912216771
- Provider Enumeration Date: 09/28/2010
- Last Update Date: 09/28/2010
Medical Identifiers
Medical identifiers for Mrs Mary Alice Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912216771 | NPI | - | NPPES |
| 100729 | Other | TX | ECPTOTE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 100729 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Alice Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Mary Alice Wilson, OTR
Po Box 3666,
Victoria, TX 77903-3666
Ph: (361) 277-6527 | Mrs Mary Alice Wilson, OTR
128 N Commerce St,
Port Lavaca, TX 77979-3435
Ph: (361) 552-1977 |
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