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

Mrs. Wanda Lisa Crunkleton, PTA

Individual provider Physical Therapy Assistant · NPI 1093298804

Mrs. Wanda Lisa Crunkleton, PTA is a Physical Therapy Assistant in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone: (252) 399-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 604 (NC)

Record details

NPI number1093298804
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 8, 2018
Last updated in NPPESSeptember 8, 2018
Mailing address274 Watery Branch Church Rd, Stantonsburg, NC 27883-9179

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