Individual
TRACY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 777-3519
Mailing address
600 S MCKINLEY ST, LITTLE ROCK, AR 72205-5202
(501) 978-2777
(501) 978-2630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2642
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2642
AR LICENSE
AR
Enumeration date
09/17/2013
Last updated
07/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us