Individual
COURTNEY PRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3021 POLENTA RD, CLAYTON, NC 27520-8944
(919) 390-4827
Mailing address
3021 POLENTA RD, CLAYTON, NC 27520-8944
(919) 390-4827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10347
NC
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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