Individual
TROY PREACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
208 MERCER MILL RD, ELIZABETHTOWN, NC 28337-3938
(910) 862-8010
Mailing address
407 REDWOOD RD, WILMINGTON, NC 28412-2830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9519
NC
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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