Individual
MRS. WINDY LEIGH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4702 NC HIGHWAY 48, ROANOKE RAPIDS, NC 27870-8505
(252) 532-7736
(434) 634-4834
Mailing address
PO BOX 1269, GASTON, NC 27832-1269
(252) 532-7736
(252) 376-1185
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301156
—
NC
Enumeration date
02/01/2007
Last updated
06/20/2019
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