NPI 1003214982
Nicole Claire Wilson, COTAL
Practice location
- Address
- 2508 Gunpowder Rd, Little Rock, AR 72227-3029
- Phone
- (520) 240-3723
Registered specialties (2)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1003214982
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Dec 2014
- Record last updated
- 16 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.