Individual
HULDAH JANE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
190 BROADWAY ST STE 101, ASHEVILLE, NC 28801-2501
(828) 412-0908
Mailing address
2080 US 70 E, MARION, NC 28752-6780
(828) 442-7861
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10630
NC
Other
Enumeration date
08/06/2022
Last updated
08/19/2022
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