Individual
KADIE-ANN COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 BETHPAGE LN APT 204, FAYETTEVILLE, NC 28311-0172
(910) 882-2083
Mailing address
2512 BETHPAGE LN APT 204, FAYETTEVILLE, NC 28311-0172
(910) 882-2083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0TA13409
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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