Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STEPHANIE RENEE WILSON
Active Sole ProprietorOccupational Therapist · MAGNOLIA, NC
Registration Details
- NPI Number
- 1649602772
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2013 (12.749707371987 yrs)
- Last Updated
- Jul 31, 2013
- License
-
5163 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3146 S US HIGHWAY 117MAGNOLIA, NC, 284538974Browse NC providers · Browse ZIP 28453
- Phone
- 9102712240
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.