Individual
LORNA BERNADETTE CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 321-1896
Mailing address
6 SUGAR MAPLE CT, DURHAM, NC 27703-7172
(919) 321-1896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4420
NC
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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