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1811602865
CHARLES WILLIAM WILSON
GLENDALE, AZ
NPI
1811602865
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Other Name
CHARLIE WILLIAM WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ OTH-006074)
Enumeration Date
2023-01-13
Last Update Date
2023-01-17
Business Address
CHARLES WILLIAM WILSON OTR/L
5815 W. UTOPIA RD.
GLENDALE, AZ 85308
Phone number: 623-806-7797
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Mailing Address
CHARLES WILLIAM WILSON OTR/L
98 W LEWIS AVE
PHOENIX, AZ 85003-1071
Phone number: 602-570-0162
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