Individual
MOIRA JANE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3800 INDEPENDENCE BLVD, WILMINGTON, NC 28412-2599
(910) 392-3110
Mailing address
5129 LAMPOST CIR, WILMINGTON, NC 28403-0610
(910) 599-0195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9488
NC
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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