Individual
MS. ELIZABETH QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 637-5175
Mailing address
288 AUTUMN CHAPEL DR, SALISBURY, NC 28147-7273
(704) 642-1146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5778
NC
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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