IndividualActive
Sequyoah Wilson
NPI 1124981212 · Prosthetics Case Management · Phoenix, AZ
Provider details
- NPI number
- 1124981212
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
13026 N Cave Creek Rd Ste 204
Phoenix, AZ 85022-5199
Phone: (623) 806-0929
Approximate (ZIP-level) locationGet directions
Mailing address
13026 N Cave Creek Rd Ste 204
Phoenix, AZ 85022-5199
Registry dates
- Enumerated
- 2025-12-05
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.