Derek Alan Wilson

NPI #1043829302 in Greensboro, North Carolina

Provider Information

NPI Number: 1043829302
Entity Type: Individual
Name: Derek Alan Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 4160 PIEDMONT PKWY STE 207
City: Greensboro
State: North Carolina
ZIP Code: 27410-8174
Phone: (336) 645-6733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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