Individual
MRS. SHARON MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
325 N COOL SPRING ST, FAYETTEVILLE, NC 28301-5137
(910) 484-7660
Mailing address
1925 DAPHNE CIR, FAYETTEVILLE, NC 28304-4764
(910) 916-5465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5363
NC
Other
Enumeration date
05/13/2009
Last updated
04/22/2014
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