Provider Demographics
NPI:1790379469
Name:WILSON, EMILY CATHERINE (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CATHERINE
Last Name:WILSON
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:CATHERINE
Other - Last Name:BUCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:3117 E CHASER LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7271
Mailing Address - Country:US
Mailing Address - Phone:509-381-0045
Mailing Address - Fax:
Practice Address - Street 1:3117 E CHASER LN
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7271
Practice Address - Country:US
Practice Address - Phone:509-559-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61144566225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist