Individual
AMBER MARIE WALLACE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1472 PICKNEY STREET, WHITEVILLE, NC 28472
(910) 642-4245
Mailing address
4395 BLACKSMITH RD, BOLTON, NC 28423-9075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5769
NC
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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