Individual
BRANDY HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
219 BOSSONG DR, ASHEBORO, NC 27205-5101
(910) 585-1912
Mailing address
219 BOSSONG DR, ASHEBORO, NC 27205-5101
(910) 585-1912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2764
NC BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
03/02/2011
Last updated
03/02/2011
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