Individual
JOSEPH MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
(910) 792-1492
Mailing address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4091
NC
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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