Individual
MRS. MIRANDA MCKINNEY MCHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 WALL LOOP RD, WALNUT COVE, NC 27052-5803
(336) 593-5307
Mailing address
1100 WALL LOOP RD, WALNUT COVE, NC 27052-5803
(336) 593-5307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001291
VA
224Z00000X
Occupational Therapy Assistant
Primary
8816
NC
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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