Individual
CARMEN EUDY WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W PHIFER ST, MARSHVILLE, NC 28103-1322
(704) 624-7488
Mailing address
28275 HARWOOD RD, NEW LONDON, NC 28127-7743
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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