Organization Name: | THERAPY WORKS OF WILMINGTON |
NPI Number: | 1093734030 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY S NOLAN (OWNER/SPEECH PATHOLOGIST) |
Mailing Address: | 3722 Shipyard Blvd Ste A Wilmington |
State: | NC US |
Postal Code: | 284036188 |
Phone Number: | 9103438988 |
Fax Number: | 9103434144 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/23/2008 |
NPI Reactivation Date: | 06/01/2012 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |