Individual
SHANE M DINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4217 EVANSDALE RD, WILSON, NC 27893-7656
(252) 230-3762
Mailing address
4217 EVANSDALE RD, WILSON, NC 27893-7656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11678
NC
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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