Individual
AARON LIDE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2205 NEW GARDEN RD, APT 4310, GREENSBORO, NC 27410-1703
(910) 354-6558
Mailing address
2205 NEW GARDEN RD, APT 4310, GREENSBORO, NC 27410-1703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9716
NC
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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