Individual
DOMINIQUE BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
Mailing address
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15531
NC
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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