Individual
CARLY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-7195
Mailing address
7036 BAYOU CT, WILMINGTON, NC 28411-0200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11843
NC
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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