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1760025043
BROOKE ELIZABETH WALLACE
WILMINGTON, NC
NPI
1760025043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 12937)
Enumeration Date
2019-10-19
Last Update Date
2022-07-17
Business Address
BROOKE ELIZABETH WALLACE OTR/L
9020 SENCA DR STE 220
WILMINGTON, NC 28411-6680
Phone number: 910-443-5225
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Mailing Address
BROOKE ELIZABETH WALLACE OTR/L
9020 SENCA DR STE 220
WILMINGTON, NC 28411-6680
Phone number: 910-443-5225
Copy
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