Individual
MARY ALISON BAILEY MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
5911 OLEANDER DR STE 100, WILMINGTON, NC 28403-4788
(910) 313-2111
(910) 313-2119
Mailing address
5911 OLEANDER DR STE 100, WILMINGTON, NC 28403-4788
(910) 313-2111
(910) 313-2119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9057
NC
Other
Enumeration date
02/20/2014
Last updated
06/27/2014
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