Individual
MRS. ELIZABETH ANNE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
Mailing address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5056
NC OTA LICENSE
NC
Enumeration date
05/27/2008
Last updated
05/27/2008
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