Individual
MISS SHELIA MARIE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
58 SUBSTATION RD, CANTON, NC 28716-4710
(828) 492-1020
Mailing address
58 SUBSTATION RD, CANTON, NC 28716-4710
(828) 492-1020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5895
NC
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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