Individual
MS. SUZANE MONET-WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
Mailing address
7425 TUCKASEEGEE RD, CHARLOTTE, NC 28214-2620
(704) 394-3275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3852
COTA LICENSE
NC
Enumeration date
04/06/2009
Last updated
04/06/2009
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