Individual
AUSTIN COLE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3700 TAYLOR GLEN LN NW, CONCORD, NC 28027-3400
(704) 788-6510
Mailing address
7980 MOUNT OLIVE RD, CONCORD, NC 28025-1366
(704) 960-5722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13105
NC
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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