Individual
MRS. MARY AMANDA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2864 DAV AVENUE, MORGANTON, NC 28655
(828) 443-0272
Mailing address
5580 SERENE PLACE, GRANITE FALLS, NC 28630
(828) 514-1028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7245
NC
Other
Enumeration date
11/06/2010
Last updated
07/21/2022
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