Individual
KAREN TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(910) 246-1000
Mailing address
46 MARTIN DR, WHISPERING PINES, NC 28327-9335
(330) 540-7881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7422
NC
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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