Individual provider · Type 1 NPI
Jeffrey W. Wickline, OTR/L
Occupational Therapist · Southport, NC
Practice location
3260 Oceanic Bay Dr
Southport, NC 28461-6401
Mailing address
1222 Matteo Drive
Wilmington, NC 28412-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 001758 (CT) |
| Occupational Therapist Primary | 225X00000X | 9721 (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…
Another provider at this address
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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.