Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1802 | NC |
NPI | 1013220680 |
---|---|
Provider Name | Deborah Bowers Oliver |
First Address | Advance, NC 27006 |
Second Address | Advance, NC 27006-7867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2010 |
Last Update Date | 23/07/2010 |