Individual
MRS. KARAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 DOVE DR, RINGGOLD, GA 30736-4179
(423) 414-1615
Mailing address
16 DOVE DR, RINGGOLD, GA 30736-4179
(423) 414-1615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1290
GA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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