Individual
JAMIE K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-7093
Mailing address
204 DOBBS DR, LA GRANGE, NC 28551-7665
(919) 736-7093
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5168
NC
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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