Individual
MS. ASHLYNN FAIRCLOTH MCKEITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 LIBERTY HILL ROAD, LUMBERTON, NC 28358
(910) 272-9056
Mailing address
205 GARRELL STREET, WHITEVILLE, NC 28472
(910) 918-2920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11620
NC
Other
Enumeration date
02/10/2018
Last updated
07/17/2020
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