Individual
DEJUAN SCRIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
707 N ELM ST, HIGH POINT, NC 27262-3917
(336) 885-0141
Mailing address
1015 GLENDALE DR APT 19C, GREENSBORO, NC 27406-6456
(191) 232-4943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10620
NC
224Z00000X
Occupational Therapy Assistant
213957
TX
224Z00000X
Occupational Therapy Assistant
OTA 15257
FL
Other
Enumeration date
07/20/2016
Last updated
12/23/2023
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