Individual
ALANA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2912 SAPP RD, CONCORD, NC 28025-9518
(704) 795-0501
Mailing address
2912 SAPP RD, CONCORD, NC 28025-9518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5509
NC
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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