Individual
MS. MARION ELLEN WILM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 541-9080
(704) 542-0699
Mailing address
4012 PARK RD STE 200, CHARLOTTE, NC 28209-2378
(704) 541-9080
(704) 542-0699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7388153
—
NC
Enumeration date
03/24/2006
Last updated
07/09/2025
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