Individual
MICHAELA EZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
639 BURNCOAT RD, KINSTON, NC 28504-9449
(252) 286-6213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18034
NC
Other
Enumeration date
10/08/2025
Last updated
10/13/2025
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