Individual
MRS. JULIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
615 SPRING FOREST RD, RALEIGH, NC 27609-9150
(919) 981-6100
Mailing address
1400 WHEELWRIGHT PL APT 311, CARY, NC 27519-6881
(252) 916-2561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11897
NC
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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