Individual
MRS. KATHERINE JEAN-THOMAS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2744 S 17TH ST, WILMINGTON, NC 28412-6606
(910) 794-3319
Mailing address
110 KILLDEER DR, HAMPSTEAD, NC 28443-7200
(910) 270-8722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6383
NC
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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