Individual
MICHELLE LORAINE HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2722 SPRING FOREST RD, RALEIGH, NC 27616-1977
(919) 863-7770
Mailing address
222 SHADY SUMMIT WAY, RALEIGH, NC 27603-4873
(937) 371-8741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10023
NC
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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