Individual
ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126B OAKMONT RD, CHARLESTON, WV 25314-1241
(866) 871-8519
Mailing address
1126B OAKMONT RD, CHARLESTON, WV 25314-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10217
NC
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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