Individual
MS. REYNA FORBES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3134 WENDELL BLVD, WENDELL, NC 27591-7271
(919) 850-4303
Mailing address
3134 WENDELL BLVD, WENDELL, NC 27591-7271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131-001916
VA
224Z00000X
Occupational Therapy Assistant
Primary
9831
NC
Other
Enumeration date
09/03/2018
Last updated
01/11/2022
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