Individual
MRS. KATHLEEN MARY GUBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
925 NEW GARDEN RD, GREENSBORO, NC 27410-3233
(336) 851-0312
Mailing address
5704 MABE DR, OAK RIDGE, NC 27310-9853
(336) 851-0612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6366
NC
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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