Individual
MS. HATTIE DENISE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
3622 RANBIR DR, DURHAM, NC 27713-1792
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2839
NC
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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