Individual
DAWN WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8763
Mailing address
8601 STATION DR, APT L, RALEIGH, NC 27615-2855
(919) 602-9720
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6605
NC
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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