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Individual

ANSLEY COLEBANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1031 AVENIDA PICO STE 201, SAN CLEMENTE, CA 92673-6356
(949) 388-8788
Mailing address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11213
NC

Other

Enumeration date
09/01/2017
Last updated
09/29/2021
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