Individual
COURTNEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 286-6600
Mailing address
9 FAIROAKS DR, GREENVILLE, SC 29615-4341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5470
SC
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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