Carly Ruth Wilson
NPI #1083344691 in Gladewater, Texas
Provider Information
- NPI Number
- 1083344691
- Entity Type
- Individual
- Name
- Carly Ruth Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jun 15, 2022
- Last Updated
- Jun 15, 2022
Practice Location
- Address
- 1104 E MARY AVE
- City
- Gladewater
- State
- Texas
- ZIP Code
- 75647-4526
- Phone
- (469) 215-6138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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