Individual
ELIZABETH ANNE WIZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2744 S 17TH ST, WILMINGTON, NC 28412-6606
(910) 794-3319
Mailing address
4949 LAKE RENAISSANCE CIR, WILMINGTON, NC 28409-3304
(910) 794-2184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1500
NC
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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