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Individual

LAQUESTIS NICOLE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1111 HUFFMAN MILL RD, BURLINGTON, NC 27215-8862
(336) 584-5544
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15075
NC
225X00000X
Occupational Therapist
OT24888
FL

Other

Enumeration date
08/02/2022
Last updated
04/17/2024
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