Individual
JESSICA DILEO WILCHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4000 APPLEGATE RD, CHARLOTTE, NC 28209-2702
(980) 343-1426
Mailing address
8002 MYNELLE CT, WAXHAW, NC 28173-7114
(908) 892-3154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07426
MD
225X00000X
Occupational Therapist
Primary
12578
NC
Other
Enumeration date
01/15/2016
Last updated
05/06/2024
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