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Individual

ALLISON SOUTHARD DAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3195 OLD MURPHY RD, FRANKLIN, NC 28734-7213
(828) 524-7806
Mailing address
3322 W OLD MURPHY RD, FRANKLIN, NC 28734-8382
(828) 371-6384

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11956
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11956
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
01
404556
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
NC
Enumeration date
08/20/2018
Last updated
06/11/2024
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