Individual
SABRA LYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 772-0395
Mailing address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 772-0395
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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