Individual
MARTHA KATHLEEN BERNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
211 VIRGINIA RD, EDENTON, NC 27932-9668
(252) 482-6767
(252) 482-6319
Mailing address
105 CYPRESS DR, EDENTON, NC 27932-1605
(252) 482-2899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3470
NC
Other
Enumeration date
01/01/2011
Last updated
01/01/2011
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