Individual
HALEIGH MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, BT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
13003
NC
Other
Enumeration date
05/26/2020
Last updated
02/01/2021
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