Individual
CHERI HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
106 MOUNT VISTA RD, DENTON, NC 27239-8793
(336) 859-2181
Mailing address
315 THAYER RD, ROCKWELL, NC 28138-7855
(704) 279-4822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3163
NC
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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