Individual
MRS. HOLLY WALKER WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6000 PARK SOUTH DR, CHARLOTTE, NC 28210-3298
(704) 643-1400
Mailing address
2823 ATTABERRY DR, CHARLOTTE, NC 28205-2501
(252) 327-0525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6784
NC
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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