Individual
MR. MARC DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1110 6TH AVE E, TUSCALOOSA, AL 35401-3207
(205) 759-1211
(205) 349-1162
Mailing address
10 S 9TH ST, STE 4, NOBLESVILLE, IN 46060-2631
(765) 524-3946
(317) 708-6496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3029
AL
Other
Enumeration date
04/21/2009
Last updated
11/13/2020
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