Healthcare Provider Details

I. General information

NPI: 1831524412
Provider Name (Legal Business Name): CATHERINE L FLEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5302 OLEANDER DR
WILMINGTON NC
28403-5810
US

IV. Provider business mailing address

5302 OLEANDER DR
WILMINGTON NC
28403-5810
US

V. Phone/Fax

Practice location:
  • Phone: 910-791-4492
  • Fax: 910-791-4355
Mailing address:
  • Phone: 910-791-4492
  • Fax: 910-791-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License NumberP9750
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: