Individual provider · Type 1 NPI

Jeffrey W. Wickline, OTR/L

Occupational Therapist · Southport, NC

NPI number 1760899686 Active

Practice location

3260 Oceanic Bay Dr
Southport, NC 28461-6401

Mailing address

1222 Matteo Drive
Wilmington, NC 28412-1000

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X001758 (CT)
Occupational Therapist Primary 225X00000X9721 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1760899686

Jeffrey W. Wickline, OTR/L's National Provider Identifier is 1760899686, issued on Jul 14, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Southport, NC. The record was last updated on Dec 9, 2020.