Individual
NICOLE M WINGFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
Mailing address
340 CAMPGROUND RD, HAVELOCK, NC 28532-8688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13685
NC
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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