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NPI Code Detail

MEDICARE: ALICIA DONATONE OCCUPATIONAL THERAPI

MEDICARE: ALICIA DONATONE OCCUPATIONAL THERAPI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2183NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11292TOTHERNCBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639157019
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA DONATONE OCCUPATIONAL THERAPI
Provider Business Mailing Address
First Line : 100 DEER COVE RD
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-2398
Country : US
Telephone Number : 910-264-9233
Fax Number : 910-392-3986
Provider Business Practice Location Address
First Line : 219 RACINE DR
Second Line : SUITE C
City : WILMINGTON
State : NC
Zip : 28403-8702
Country : US
Telephone Number : 910-264-9233
Fax Number : 910-392-3986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 07/08/2007

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Directions to “ ALICIA DONATONE OCCUPATIONAL THERAPI” Practice Location

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