Wanda Chestnut Burton LICENSED COTA

NPI 1447656806 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1447656806
Gender Female
Enumeration Date 11/13/2014
Last Updated 11/13/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
205 EMERALD POND LN
DURHAM NC, 27705-6051, US
Phone (919) 493-4713
Fax
Business Location
3001 SPRING FOREST RD
RALEIGH NC, 27616-2815, US
Phone (919) 424-5086
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State North Carolina
License Number 7393
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According to our database, Wanda Chestnut Burton LICENSED COTA NPI is 1447656806, taxonomy code is 224Z00000X and license number is 7393, license state is located at North Carolina. Wanda Chestnut Burton LICENSED COTA physically located at 205 Emerald Pond Ln, Durham NC, 27705-6051. NPI Number Wanda Chestnut Burton LICENSED COTA has the Individual type.

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1447656806 NPI number is provided on an as is basis without warranty of any kind. 1447656806 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda Chestnut Burton LICENSED COTA are for informational purposes only.