Individual
MRS. NICOLE TROYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
6100 W FRIENDLY AVE, GREENSBORO, NC 27410-4160
(336) 292-9952
Mailing address
310 CEDAR RIDGE RD, RANDLEMAN, NC 27317-9463
(561) 756-7983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9552
OTA LICENSE
NC
Enumeration date
01/26/2016
Last updated
01/26/2016
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