Individual
KELLI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411
(910) 319-2121
Mailing address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8012
NC
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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