Individual
MR. MARTY CLINTON RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2770 HAHN SCOTT RD, MT PLEASANT, NC 28124-9358
(704) 791-9891
Mailing address
2770 HAHN SCOTT RD, MT PLEASANT, NC 28124-9358
(704) 791-9891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7917
NC
Other
Enumeration date
05/21/2012
Last updated
06/25/2012
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