Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5795 | NC |
N | 225XH1200X | Occupational Therapist - Hand | 5795 | NC |
NPI | 1184160368 |
---|---|
Provider Name | Andrea Couts |
First Address | Greensboro, NC 27408-7613 |
Second Address | Greensboro, NC 27408-7613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2017 |
Last Update Date | 22/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184160368 | NPI (01) | NC |