Individual
MRS. DIANA SOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2198 BILL HOOKS RD, WHITEVILLE, NC 28472-9709
(252) 560-3265
Mailing address
2198 BILL HOOKS RD, WHITEVILLE, NC 28472-9709
(252) 560-3265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6374
NC
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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