Individual
ALLISON NICOLE SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 SALEMTOWNE DR, WINSTON SALEM, NC 27106-3294
(336) 776-2300
Mailing address
8341 LENBROOK RD, KERNERSVILLE, NC 27284-9273
(336) 993-4166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5774
NC
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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