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

Mr. Stacy Allieou Wilson, OTR/L

Individual provider Occupational Therapist · NPI 1114236346

Mr. Stacy Allieou Wilson, OTR/L is an Occupational Therapist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4920 Raeford Rd
Fayetteville, NC 28304-3142
Phone: (910) 585-8308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7684 (NC)

Record details

NPI number1114236346
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 6, 2010
Last updated in NPPESOctober 6, 2010

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