Individual
CHINEQWA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 17TH ST NW, ALICEVILLE, AL 35442-1426
(205) 373-6307
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AL
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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