Individual
MRS. AMBER LAMBERT MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5400 NC HWY 742, OAKBORO, NC 28129
(704) 425-6535
Mailing address
5400 NC HWY 742, OAKBORO, NC 28129
(704) 425-6535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4101
LICENSESURE
NC
01
—
4101
LICENSEURE
—
Enumeration date
01/21/2022
Last updated
01/21/2022
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