Individual
KATHRYN AULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1101 MAPLE CARE LN, STATESVILLE, NC 28625-8406
(704) 871-0705
(704) 871-0708
Mailing address
1101 MAPLE CARE LN, STATESVILLE, NC 28625-8406
(704) 871-0705
(704) 871-0708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2638
NC
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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