Individual
ALFRED RAY HILLIARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4030 CARDINAL AT NORTH HILLS ST, RALEIGH, NC 27609-2616
(984) 204-8444
Mailing address
2065 WIGGINS VILLAGE DR, YOUNGSVILLE, NC 27596-7490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15191
NC
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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