Individual provider · Type 1 NPI

Weatherly B. Landry, COTA

Assisted Living Facility · Wilmington, NC

NPI number 1437426624 Active

Practice location

2029 Burnett Blvd
Wilmington, NC 28401-6939

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X7649 (NC)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

About NPI 1437426624

Weatherly B. Landry, COTA's National Provider Identifier is 1437426624, issued on Nov 16, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wilmington, NC. The record was last updated on Nov 16, 2011.