Individual
KELLY POPE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
663 HIGH ST, POLKTON, NC 28135-9354
(704) 272-6247
Mailing address
663 HIGH ST, POLKTON, NC 28135-9354
(704) 272-6247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1792
NC
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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