Individual
HOLLIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G-2, HUNTERSVILLE, NC 28078-5091
(704) 439-3403
Mailing address
16405 NORTHCROSS DR, SUITE G-2, HUNTERSVILLE, NC 28078-5091
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4487
NC
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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