Individual
PEYTON NANCE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2036 QUILL CT, KANNAPOLIS, NC 28083-6298
(704) 360-3900
(704) 360-3900
Mailing address
PO BOX 8209, LANDIS, NC 28088-8209
(704) 360-3900
(704) 360-3900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17199
NC
Other
Enumeration date
09/20/2024
Last updated
06/03/2025
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