Destanie Alissa Wilson
NPI #1144847518 in Maxton, North Carolina
Provider Information
- NPI Number
- 1144847518
- Entity Type
- Individual
- Name
- Destanie Alissa Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jul 1, 2020
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 425 S AUSTIN ST
- City
- Maxton
- State
- North Carolina
- ZIP Code
- 28364-2138
- Phone
- (910) 542-1878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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