NPI 1043829302

Derek Alan Wilson

Practitioner Developmental Therapist Greensboro, NC

Practice location

Address: 4160 Piedmont Pkwy STE 207, Greensboro, NC 27410-8174
Phone: (336) 645-6733
Mailing address: 5202 Olde Forest Dr, Greensboro, NC 27406-8763

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in North Carolina →

Registry record

NPI: 1043829302
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2020
Record last updated: 23 Jul 2020

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.