Provider Demographics
NPI:1710618012
Name:DRINKO, REGAN (MOT)
Entity Type:Individual
Prefix:
First Name:REGAN
Middle Name:
Last Name:DRINKO
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:REGAN
Other - Middle Name:
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:480 THRASHER CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2832
Mailing Address - Country:US
Mailing Address - Phone:304-991-7964
Mailing Address - Fax:
Practice Address - Street 1:9600 NUMBER 5 SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:ASH
Practice Address - State:NC
Practice Address - Zip Code:28420-2122
Practice Address - Country:US
Practice Address - Phone:910-287-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist