Individual
MICHELLE RENAE STOTESBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MAIN ST, SWANQUARTER, NC 27885-9700
(252) 945-1523
Mailing address
1719 QUARTER RD, SWANQUARTER, NC 27885-9616
(252) 926-2143
(252) 926-2414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12086
NC
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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