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Individual

MS. ALISON GREEN CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., OTR/L

Contact information

Practice address
COMPLEAT KIDZ, 518 N. GENERALS BLVD D, LINCOLNTON, NC 28092
(417) 293-6793
Mailing address
7575 SARAH DR, DENVER, NC 28037-8025
(340) 626-0917
(340) 626-0917

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2003003219
MO
225X00000X
Occupational Therapist
Primary
3352
NC
225X00000X
Occupational Therapist
33562
NC

Other

Enumeration date
08/26/2007
Last updated
07/07/2023
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