Individual
LETITIA BASCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2221 W RALEIGH BLVD, ROCKY MOUNT, NC 27803-2745
(251) 442-4156
Mailing address
4421 NOELL RD, ROCKY MOUNT, NC 27803-8589
(919) 423-8476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9163
NC
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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