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Individual

KYLE CHARLES RIGLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
179 COMBS ST, SPARTA, NC 28675-8429
(336) 372-2441
Mailing address
179 COMBS ST, SPARTA, NC 28675-8429
(336) 372-2441

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6452
NC

Other

Enumeration date
12/31/2012
Last updated
12/31/2012
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