Individual
ALEXIS NICOLE WHALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
450 NEW MARKET BLVD, SUITE 3, BOONE, NC 28607-5494
(828) 355-9584
Mailing address
276 INDIAN PAINT BRUSH DR, UNIT R1111, BANNER ELK, NC 28604-9879
(304) 552-1144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8412
NC
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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