Individual
BRENDA MARIE MAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 WINDWARD DR, STOKESDALE, NC 27357-7452
(336) 894-3247
Mailing address
171 WINDWARD DR, STOKESDALE, NC 27357-7452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12924
NC
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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