Individual
ELIZABETH NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 742-4052
Mailing address
808 RIVERWAY LN, KNIGHTDALE, NC 27545-7608
(601) 594-2746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10704
NC
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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