Organization
SELF CARE THERAPY INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P W ERKSTAM OTR (OWNER / OCCUPATIONAL THERAPIST)
(910) 233-0730
Entity
Organization
Contact information
Practice address
6626 GORDON RD, SUITE H, WILMINGTON, NC 28411-8423
(910) 233-0730
Mailing address
6626 GORDON RD, SUITE H, WILMINGTON, NC 28411-8423
(910) 233-0730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
4588
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200351
—
NC
Enumeration date
05/04/2006
Last updated
04/16/2024
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