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Individual

MISS EMILY HILDRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
160 S WINSTEAD AVE, ROCKY MOUNT, NC 27804-3419
(252) 443-7666
Mailing address
PO BOX 1631, SPRING HOPE, NC 27882-1631
(252) 908-3150

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210588
TX
224Z00000X
Occupational Therapy Assistant
Primary
7140
NC

Other

Enumeration date
09/10/2011
Last updated
09/10/2011
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