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Organization
INDIVIDUAL
Active
Organization
INDIVIDUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY MABE HARRISON MS OTR/L (OCCUPATIONAL THERAPIST)
(336) 978-4594
Entity
Organization
Contact information
Practice address
5311 ALBANY CIR, TOBACCOVILLE, NC 27050-9723
(336) 978-4594
Mailing address
5311 ALBANY CIR, TOBACCOVILLE, NC 27050-9723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
8152
NC
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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