Individual
OLIVIA AUSTEN TRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4026 S NC 11 HWY, WALLACE, NC 28466-6110
(910) 285-9050
Mailing address
5100 RAINTREE LN, GREENVILLE, SC 29615-3837
(864) 293-4383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15948
SC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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