Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist |
NPI | 1003420290 |
---|---|
Provider Name | Brooke Scales |
First Address | Pineville, NC 28134-7342 |
Second Address | Pineville, NC 28134-7342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2020 |
Last Update Date | 03/09/2020 |