Organization
LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C.
Active
Other names
ALICIA DONATONE OTR/L P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA DONATONE OTR/L (PRESIDENT)
(910) 392-3986
Entity
Organization
Contact information
Practice address
219 RACINE DR, SUITE C, WILMINGTON, NC 28403-8827
(910) 392-3986
(910) 392-3986
Mailing address
100 DEER COVE RD, HAMPSTEAD, NC 28443-2398
(910) 392-3986
(910) 392-3986
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1292T
BCBS
—
01
—
1639157019
INDIVIDUAL NPI NUMBER
NC
05
—
7301815
—
NC
Enumeration date
10/02/2009
Last updated
10/02/2009
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