Destanie Alissa Wilson
Destanie Alissa Wilson is an Occupational Therapy Assistant in Maxton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.
- Licensed in
- NC
- In the registry since
- 2020
Practice location Address checks out
425 S Austin StMaxton, NC 28364-2138
Phone: (910) 542-1878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 15974 (NC) |
|---|
Record details
| NPI number | 1144847518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2020 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |