Individual
KAITLYN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 VILLAGE LAKE RD, SILER CITY, NC 27344-1820
(919) 663-2788
Mailing address
9160 BROADSTONE WAY, APEX, NC 27502-4782
(207) 409-8718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11818
NC
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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