NPI 1669686077

Mariska Charlene Truesdale, PTCFM

Practitioner Mastectomy Fitter Wilmington, NC

Practice location

Address: 3909 Oleander Dr Suite D, Wilmington, NC 28403-6730
Phone: (910) 619-4803
Fax: (910) 395-5773
Mailing address: 1205 Pine Valley Dr, Wilmington, NC 28409-2596

Registered specialties (3)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 4979 (NC)

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1669686077
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2007
Record last updated: 13 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.