Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6281 | NC |
NPI | 1114237070 |
---|---|
Provider Name | Mrs. Allison Conkey Bolin |
First Address | Pittsboro, NC 27312-5927 |
Second Address | Siler City, NC 27344-6787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2010 |
Last Update Date | 13/10/2010 |