Individual
MRS. VICTORIA WESSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-4686
Mailing address
1105 E MOORE ST, SOUTHPORT, NC 28461-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7118
NC
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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