Individual
MRS. DONNA DWYER UTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5230 SARDOU RD, WILMINGTON, NC 28412-7816
(910) 793-1942
Mailing address
5230 SARDOU RD, WILMINGTON, NC 28412-7816
(910) 793-1942
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5195
NC
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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