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Individual

HEATHER CONKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7237 BLUE JUNIPER CT, FUQUAY VARINA, NC 27526-5469
(845) 742-4814
Mailing address
7237 BLUE JUNIPER CT, FUQUAY VARINA, NC 27526-5469
(845) 742-4814

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6722
NC

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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