Individual
MISS AMY NICOLE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS, LRT
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
Mailing address
902 LITCHFIELD WAY APT F, WILMINGTON, NC 28405-3565
(910) 232-2837
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
1511
NC
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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