Individual
SUMMER PREVATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1204 FRANKLIN DR, GREENVILLE, NC 27858-4033
(191) 074-0209
Mailing address
1204 FRANKLIN DR, GREENVILLE, NC 27858-4033
(191) 074-0209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14038
NC
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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