Wilm, Marion Ellen

Wilm, Marion Ellen is an individual health care provider with primary practice located at 10516 Park Rd , Charlotte NC 28210-8405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wilm, Marion Ellen can be contacted via phone (704) 541-9080.

Contact Information

Primary practice address
10516 Park Rd Charlotte NC 28210-8405
Phone: (704) 541-9080
Fax: (704) 542-0699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1830 North Carolina

Profile Details

NPI number 1699735423
LBN Legal business name Wilm, Marion Ellen
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 8th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699735423 NPPES
North Carolina MEDICAID 7388153

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