Individual
MRS. MICHELLE ELLEN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1508 WESTPOINTE DR, GREENVILLE, NC 27834-8420
(252) 342-1443
Mailing address
1508 WESTPOINTE DR, GREENVILLE, NC 27834-8420
(252) 342-1443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9093
NC
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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