Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Ruth Wilson

Individual provider Occupational Therapy Assistant · NPI 1083344691

Carly Ruth Wilson is an Occupational Therapy Assistant in Gladewater, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

1104 E Mary Ave
Gladewater, TX 75647-4526
Phone: (469) 215-6138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 216361 (TX)

Record details

NPI number1083344691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022