Individual
NICOLE GARDNER-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 TREETOP DR STE 301, FAYETTEVILLE, NC 28311-0606
(910) 491-8217
Mailing address
50 WINDFIELD CT, LILLINGTON, NC 27546-5569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6913
NC
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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