Individual
MRS. ALLIE NICOLE NDAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 288-0240
Mailing address
7018 BRASSIE BND, MONTGOMERY, AL 36116-6033
(256) 366-3368
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4568
AL
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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