Individual
ALYSSA JANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 WHITE ST, JACKSONVILLE, NC 28546-6351
(910) 353-7222
Mailing address
326 ROCK CREEK DR S, JACKSONVILLE, NC 28540-9329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15255
NC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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