Individual
BONNIE FAYE HUMMER-WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4470 CHICKENFOOT RD, SAINT PAULS, NC 28384-8232
(910) 964-4764
Mailing address
4470 CHICKENFOOT RD, SAINT PAULS, NC 28384-8232
(910) 964-4764
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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