Individual
MRS. MERRIE CATHERINE FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
180 HOSPITAL CORPS BLVD, CAMP LEJEUNE, NC 28547
(910) 449-2553
Mailing address
318 CROSSWOOD DR, HOLLY RIDGE, NC 28445-8783
(910) 389-2856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6616
NC
Other
Enumeration date
06/09/2008
Last updated
06/26/2025
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