Andrea Perkins, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Wallace, NC
NPI 1104089671 · NPPES record last updated Jul 5, 2008
Key facts
- NPI
- 1104089671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3448 (NC)
- Practice address
- 647 SE Railroad St
Wallace, NC 28466-2091 - Phone
- (910) 285-9710
- NPI assigned
- Jul 5, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3448 | NC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3448 | NC | Yes |
Addresses
Primary practice location
647 SE Railroad St
Wallace, NC 28466-2091
Mailing address
647 SE Railroad St
Wallace, NC 28466-2091
Phone (910) 285-9710
Other providers in Wallace, NC
- Optometric Associates, P.a.
- Victoria Paradiso
- Tina Joell-Kennedy Parker
- Radha M Patel
- Pen-Du Rest Home
- Horace Vernon Pigford III
- Horace Vernon Pigford Jr.
- Kathleen B Pigford
- Pigfords Physical Therapy Assoc Inc
- PO Powell Management Group, LLC
All providers in Wallace, NC · Occupational Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.