Individual
DANICA BLOODGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
110 HORIZON DR # 310, RALEIGH, NC 27615-4926
(919) 424-5080
Mailing address
8515 TOURMALINE DR, LINDEN, NC 28356-9519
(732) 930-8044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13304
NC
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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