Individual
MRS. HALEIGH N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 BROADRICK DR, DALTON, GA 30720-2504
(706) 272-6199
Mailing address
1225 BROADRICK DR, DALTON, GA 30720-2504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007459
GA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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