Individual
LAURA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 S 17TH ST, WILMINGTON, NC 28401-6442
(910) 763-8286
(910) 251-9289
Mailing address
1776 S 17TH ST, WILMINGTON, NC 28401-6442
(910) 763-8286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
285232
NC
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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