DESTANIE ALISSA WILSON

MAXTON, NC
NPI1144847518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  15974)
Enumeration Date2020-07-01
Last Update Date2024-01-11
Business Address
DESTANIE ALISSA WILSON
425 S AUSTIN ST
MAXTON, NC 28364-2138
Phone number: 910-542-1878
Mailing Address
DESTANIE ALISSA WILSON
25380 STONY MOUNTAIN RD
ALBEMARLE, NC 28001-8684
Phone number: 850-867-4608