Individual
HEATHER JO CREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5215 RANDOLPH RD, CHARLOTTE, NC 28211-5160
(704) 234-5198
Mailing address
5528 MT MANSFIELD RD, CHARLOTTE, NC 28278-7386
(252) 578-4237
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7470
NC
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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