Individual
MISS MARY LEE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
396 ELEMENTARY DR, EC SERVICES, FAYETTEVILLE, NC 28301-6267
(910) 678-2789
(910) 678-2793
Mailing address
396 ELEMENTARY DR, EC SERVICES, FAYETTEVILLE, NC 28301-6267
(910) 678-2789
(910) 678-2793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4511
NC
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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