Individual
MRS. ERICA MARIE O'SHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 SOUTH MOUNTAIN RD, BOSTIC, NC 28018-0577
(321) 652-4378
Mailing address
PO BOX 577, BOSTIC, NC 28018-0577
(321) 652-4378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7063
NC
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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