Individual
DANIELLE GAUWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2030 HARPER AVE NW, LENOIR, NC 28645
(828) 572-0558
Mailing address
1040 35TH STREET PLACE NE, CONOVER, NC 28613
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8658
NC
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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