Search › Oklahoma › 235Z00000X
Carly Wilson, MS
NPI 1477026763 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2614 S 15th Pl
Broken Arrow, OK 74012 - Phone
- (972) 741-4393
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma