Individual
ERICA C VIZUETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 STONEBRIDGE SQ, HAVELOCK, NC 28532-9505
(252) 571-2078
Mailing address
117 BERNHURST RD, NEW BERN, NC 28560-5038
(252) 468-4609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14024
NC
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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