Individual
MRS. KAREN HERNDON WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
205 E KINGS HWY, EDEN, NC 27288-5239
(336) 623-9712
Mailing address
108 CEDAR TRL, DANVILLE, VA 24540-7332
(433) 792-3842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8843
NC
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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