Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1418 | NC |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1418 | NC |
NPI | 1821215575 |
---|---|
Provider Name | Pamela Kelly Dant |
First Address | Hickory, NC 28602-8985 |
Second Address | Hickory, NC 28601-5046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |