Individual
BEVERLY KIM HUFFMAN BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G2, HUNTERSVILLE, NC 28078-5091
(704) 897-2450
Mailing address
4135 22ND ST NE, HICKORY, NC 28601-7449
(828) 302-4219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4192
NC
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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