Individual
LAKIN EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
(336) 786-2133
Mailing address
1 POND ST, ARDEN, NC 28704-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13046
NC
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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