Individual
JEREMY OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4504 CRAWDAD CT, WILMINGTON, NC 28405-2326
(330) 931-0037
Mailing address
4504 CRAWDAD CT, WILMINGTON, NC 28405-2326
(330) 931-0037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8129
NC
Other
Enumeration date
05/23/2007
Last updated
08/07/2012
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