Individual
MRS. LINDA W. SIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
142 BERMUDA VILLAGE DR., ADVANCE, NC 27106
(336) 940-6433
Mailing address
142 BERMUDA VILLAGE DR., ADVANCE, NC 27106
(336) 940-6433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3843
NC
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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