Individual
MR. MICHAEL ALLEN FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
250 LOVERS LN, WASHINGTON, NC 27889-3436
(252) 975-1636
Mailing address
2429 KODIAK DR, WINTERVILLE, NC 28590-8056
(252) 258-0433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15938
NC
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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