Individual
ANDREA NICOLE HATHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079-9300
(704) 882-3420
Mailing address
3315 FAITH CHURCH RD, INDIAN TRAIL, NC 28079-9300
Taxonomy
Speciality
Code
Description
License number
State
224ZL0004X
Low Vision Occupational Therapy Assistant
Primary
11134
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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