Individual
MRS. PATRICIA ANN VANHUYLENBROUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1995 E CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-8276
(910) 814-0880
Mailing address
304 ROCKY RUN LN, LILLINGTON, NC 27546-6158
(910) 985-0924
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6482
NC
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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