Individual
STELLAH OMBASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HEATHWOOD DR, ALBEMARLE, NC 28001-8604
(704) 550-5050
(704) 550-5090
Mailing address
620 HEATHWOOD DR, ALBEMARLE, NC 28001-8604
(704) 550-5050
(704) 550-5090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9392
NC
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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