Individual
KACEY LEE TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-4389
(910) 667-4036
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-4389
(910) 667-4036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3472
NC
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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