Organization
COASTAL KIDS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREL THORNTON OTR/L (OCCUPATIONAL THERAPIST)
(910) 977-0658
Entity
Organization
Contact information
Practice address
219 RACINE DR, SUITE 1-A, WILMINGTON, NC 28403-8827
(910) 792-6706
(910) 792-6737
Mailing address
219 RACINE DR, SUITE 1-A, WILMINGTON, NC 28403-8827
(910) 792-6706
(910) 792-6737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/31/2012
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