Individual
VANDALA WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
308 GREENVILLE BLVD SE, GREENVILLE, NC 27858-5758
(704) 654-8599
(980) 938-6088
Mailing address
308 GREENVILLE BLVD SE, GREENVILLE, NC 27858-5758
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10783
NC
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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