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Individual

LAURA NORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2006 S 16TH ST, WILMINGTON, NC 28401-6613
(910) 762-4878
Mailing address
4337 TOLLINGTON DR, WILMINGTON, NC 28412-0980

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5474
NC

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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