Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Licata Jeane Wilson

Individual provider Occupational Therapy Assistant · NPI 1093054249

Licata Jeane Wilson is an Occupational Therapy Assistant in West Plains, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2013
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Practice location Address checks out

210 Davis Dr
West Plains, MO 65775-2241
Phone: (417) 256-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2008023618 (MO)

Record details

NPI number1093054249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2013
Last updated in NPPESFebruary 7, 2013

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