Individual
ALICIA RENE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1025 BREVARD RD, SUITE 10, ASHEVILLE, NC 28806-8562
(828) 670-8056
(828) 670-8057
Mailing address
1025 BREVARD RD, SUITE 10, ASHEVILLE, NC 28806-8562
(828) 670-8056
(828) 670-8057
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009638-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147RG
BLUE CROSS BLUE SHIELD
NC
05
—
7302046
—
NC
Enumeration date
07/02/2007
Last updated
05/26/2008
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