Individual
MRS. COURTNEY ONNOLEE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1911 S 17TH ST STE 100, WILMINGTON, NC 28401-6663
(910) 313-2111
(919) 928-9423
Mailing address
1911 S 17TH ST STE 100, WILMINGTON, NC 28401-6663
(910) 313-2111
(919) 928-9423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5543
NC
225XP0200X
Pediatric Occupational Therapist
5543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301787
—
NC
Enumeration date
01/22/2007
Last updated
10/26/2021
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