Individual
CARLA BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0348
NC BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
11/04/2013
Last updated
06/02/2014
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