Allison Nicole Spain COTA

NPI 1164627428 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1164627428
Gender Female
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 SALEMTOWNE DR
WINSTON SALEM NC, 27106-3294, US
Phone (336) 776-2300
Fax
Business Location
8341 LENBROOK RD
KERNERSVILLE NC, 27284-9273, US
Phone (336) 993-4166
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State North Carolina
License Number 5774
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According to our database, Allison Nicole Spain COTA NPI is 1164627428, taxonomy code is 224Z00000X and license number is 5774, license state is located at North Carolina. Allison Nicole Spain COTA physically located at 1000 Salemtowne Dr, Winston Salem NC, 27106-3294. NPI Number Allison Nicole Spain COTA has the Individual type.

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1164627428 NPI number is provided on an as is basis without warranty of any kind. 1164627428 is maintained by the National Plan & Provider Enumeration System. The contents of Allison Nicole Spain COTA are for informational purposes only.