Individual
CORIE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
955 SPRING FOREST RD APT 2, GREENVILLE, NC 27834-4976
(252) 661-3365
Mailing address
955 SPRING FOREST RD APT 2, GREENVILLE, NC 27834-4976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13167
NC
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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