Individual
MRS. AMY ELIZABETH CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
2744 S 17TH ST, WILMINGTON, NC 28412-6606
(910) 794-3319
Mailing address
2744 S 17TH ST, WILMINGTON, NC 28412-6606
(910) 794-3319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3643
NC
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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