Individual
CARLA MAXINE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2204 LAKESHORE DR STE 110, HOMEWOOD, AL 35209-6701
(205) 868-0147
Mailing address
2116 BLUE RIDGE BLVD, HOOVER, AL 35226-3132
(205) 979-7806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108
AL STATE BOARD OF OT
AL
01
—
23442
BLUE CROSS
AL
Enumeration date
06/28/2007
Last updated
07/08/2007
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