Individual
PROF. KRISTEN TILLERY BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3907 CARATOKE HWY, BARCO, NC 27917-9500
(252) 457-0500
Mailing address
100 HIGH DUNE LOOP, SOUTHERN SHORES, NC 27949-3706
(252) 982-6087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151
COTA
NC
Enumeration date
06/04/2020
Last updated
06/04/2020
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