Individual
REBECCA NEALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
Mailing address
6307 RED CEDAR RD, WILMINGTON, NC 28411-4727
(727) 667-8838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11062
NC
Other
Enumeration date
10/26/2017
Last updated
03/17/2018
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