Individual
HOLLY BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1654 PISGAH CREEK RD, CANTON, NC 28716-5618
(843) 685-2646
Mailing address
1654 PISGAH CREEK RD, CANTON, NC 28716-5618
(843) 685-2646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2508
SC
224Z00000X
Occupational Therapy Assistant
5262
NC
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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