Individual
ASHLEY SAMANTHA KIZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1575 JOHN KNOX DR, COLFAX, NC 27235-9662
(336) 668-4900
Mailing address
709 TRIFECTA CT, WHITSETT, NC 27377-8786
(910) 916-4760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11607
NC
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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