Individual
ALLIE KAYE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 292-8371
Mailing address
4585 PARKS RD, LEXINGTON, NC 27292-8266
(336) 247-9914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15234
NC
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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