| NPI | 1922172345 |
|---|---|
| Former Legal Business Name | WILSON THERAPEUTIC INC |
| Entity Type | Organization |
| Authorized Contact | NIKKI WILSON Owner 678-918-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 909280912A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-13 |