Individual
MRS. KERRY EILEEN EISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
Mailing address
5403 TAYLORS RUN DR, CLEMMONS, NC 27012-7075
(336) 306-3102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5362
NC
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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