Individual
KARLA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3669
Mailing address
11613 SW 90TH TER, MIAMI, FL 33176-1027
(786) 390-5270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
02/18/2016
Last updated
05/25/2021
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