Individual
MS. GINNY MELISSA TEACHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
759 NC HIGHWAY 222 E, FREMONT, NC 27830-9617
(252) 237-0724
Mailing address
759 NC HIGHWAY 222 E, FREMONT, NC 27830-9617
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
5530
NC
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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