Individual
ERIKA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 KING STREET, CHARLESTON, SC 29401
(843) 789-3581
Mailing address
310 KING STREET, CHARLESTON, SC 29401
(843) 789-3581
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7534
SC
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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