Individual
MS. NICOLE TRAYLOR BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L-RN
Contact information
Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-7093
Mailing address
203 KING JAMES WAY, PIKEVILLE, NC 27863-8398
(252) 560-8947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188234
NC
224Z00000X
Occupational Therapy Assistant
Primary
3363
NC
Other
Enumeration date
05/19/2008
Last updated
01/06/2014
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