Individual
JASMINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2324
(704) 323-2108
Mailing address
11120 TREVI VILLAGE BLVD APT 306, CHARLOTTE, NC 28262-0335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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