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Individual

MRS. CAROLINA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2120 S WALDRON RD # C, FORT SMITH, AR 72903-3689
(479) 452-0424
Mailing address
5500 PEAR ORCHARD RD, CHARLESTON, AR 72933-3152
(479) 459-7999

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2730
AR

Other

Enumeration date
11/13/2024
Last updated
11/13/2024
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