Individual
YAHAIRA MARIE GILDERSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 WHITE ST, JACKSONVILLE, NC 28546-6351
(910) 353-7222
Mailing address
250 PETERSBURG RD, RICHLANDS, NC 28574-6311
(910) 787-3642
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10610
NC
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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