Individual
MISS COURTNEY MARANDA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
624 US HIGHWAY 17 S, SUITE 5, HOLLY RIDGE, NC 28445-8660
(910) 329-4444
(910) 329-4445
Mailing address
117 BARRACUDA CT, N TOPSAIL BEACH, NC 28460-8070
(336) 944-2851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9245
NC
Other
Enumeration date
09/03/2014
Last updated
09/23/2014
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