Individual
JACQUELYNN DIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
851 S BECKFORD DR STE A, HENDERSON, NC 27536-5910
(919) 480-7008
Mailing address
5304 TANGLEWOOD PINE LN, RALEIGH, NC 27610-3181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13711
NC
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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