Individual
STEVEN TYLER SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT/L
Contact information
Practice address
6622 GORDON RD STE L, WILMINGTON, NC 28411-8415
(910) 407-7211
Mailing address
6622 GORDON RD STE L, WILMINGTON, NC 28411-8415
(910) 407-7211
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
13386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952869059
—
NC
Enumeration date
03/07/2019
Last updated
06/30/2024
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