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Individual

LILLIAN JOHN PARRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
6626 GORDON RD STE H, WILMINGTON, NC 28411-8424
(910) 798-4051
(910) 338-0424
Mailing address
6626 GORDON RD STE H, WILMINGTON, NC 28411-8424
(910) 233-0726

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14670
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14670
NORTH CAROLINA LICENSE
NC
Enumeration date
02/23/2022
Last updated
01/16/2024
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