Individual
MRS. TERILYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
598 INDIAN TRAIL RD S STE 141, INDIAN TRAIL, NC 28079-8689
(704) 975-7008
Mailing address
7826 PENCE POND LN, CHARLOTTE, NC 28227-2449
(704) 451-1481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2702
NC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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