Individual
CYNTHIA C SECURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
316 HULSEY RD, CARTHAGE, NC 28327-7658
(910) 947-3549
Mailing address
316 HULSEY RD, CARTHAGE, NC 28327-7658
(910) 947-3549
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2609
CERTIFIED OCCUPATIONAL THERAPY ASSISTANT LICENSE NUMBER
NC
Enumeration date
07/10/2008
Last updated
07/10/2008
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