Individual
NICOLE KATHLEEN GREER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
969 COX RD, GASTONIA, NC 28054-3455
(704) 866-8596
Mailing address
1224 BALLINA WAY, CHARLOTTE, NC 28214-7157
(704) 796-2703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6280
NC
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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