IndividualActive
Derek Wilson
NPI 1043829302 · Developmental Therapist · Greensboro, NC
Provider details
- NPI number
- 1043829302
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
4160 Piedmont Pkwy Ste 207
Greensboro, NC 27410-8174
Phone: (336) 645-6733
Mailing address
5202 Olde Forest Dr
Greensboro, NC 27406-8763
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.