Individual
SALVATORE LANA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
Mailing address
165 AMARYLLIS DR APT 306, WILMINGTON, NC 28411-9739
(910) 231-9352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
515841
NC
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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