Individual
AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 HOSPITAL DR, LEXINGTON, NC 27292-6792
(336) 816-0086
Mailing address
1756 OLIVERS CROSSING CIR, WINSTON SALEM, NC 27127-7165
(336) 816-0086
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5873
NC
Other
Enumeration date
04/09/2019
Last updated
07/19/2024
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