Organization
EASTERN THERAPY SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE WALLACE (OWNER)
(252) 227-0251
Entity
Organization
Contact information
Practice address
9020 SENCA DR STE 220, WILMINGTON, NC 28411-6680
(252) 227-0251
(910) 442-8372
Mailing address
9020 SENCA DR STE 220, WILMINGTON, NC 28411-6680
(252) 227-0251
(910) 442-8372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/24/2020
Last updated
05/03/2022
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