Individual
BRIAN E. LIBONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1718 SEARAY LN, CAROLINA BEACH, NC 28428-5621
(910) 458-2779
Mailing address
1718 SEARAY LN, CAROLINA BEACH, NC 28428-5621
(910) 458-2779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4294
NC
225X00000X
Occupational Therapist
Primary
OT1126
HI
Other
Enumeration date
11/02/2009
Last updated
03/07/2016
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