Erica Marie O'Shall
Individual provider Active NPI Occupational Therapy Assistant · Bostic, NC
NPI 1104198639 · NPPES record last updated Jan 30, 2012
Key facts
- NPI
- 1104198639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 7063 (NC)
- Practice address
- 503 South Mountain Rd
Bostic, NC 28018-0577 - Phone
- (321) 652-4378
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 7063 | NC | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7063 | NC | Yes |
Addresses
Primary practice location
503 South Mountain Rd
Bostic, NC 28018-0577
Mailing address
PO Box 577
Bostic, NC 28018-0577
Phone (321) 652-4378
Other providers in Bostic, NC
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- Suzanne N Ledford
- Travis Watson Prevette
- Mona Amanda Ray
- Rutherford County Life Saving & First Aid Crew, Inc
- Shady Pines Assisted Living LLC
- Alysse Michelle Smith
All providers in Bostic, 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 Jan 30, 2012. 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.