Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 8662 | NC |
NPI | 1013313543 |
---|---|
Provider Name | Julie Mcnamara |
First Address | Andrews, NC 28901-8088 |
Second Address | Andrews, NC 28901-8088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2014 |
Last Update Date | 11/11/2014 |