Individual
MRS. NICOLE PAULINE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
75 LEROY GEORGE DR, CLYDE, NC 28721-7461
(828) 452-8070
(828) 452-8072
Mailing address
75 LEROY GEORGE DR, CLYDE, NC 28721-7461
(828) 452-8070
(828) 452-8072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012508
NY
225X00000X
Occupational Therapist
Primary
9216
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467654624
—
NC
Enumeration date
06/01/2007
Last updated
05/07/2015
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