MS. Harrietthall Hall Witherspoon, COTA/L
NPI #1740503812 in Southport, North Carolina
Provider Information
- NPI Number
- 1740503812
- Entity Type
- Individual
- Name
- MS. Harrietthall Hall Witherspoon, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist - Gerontology
- Credential
- COTA/L
- Enumeration Date
- Mar 3, 2010
- Last Updated
- Mar 3, 2010
Practice Location
- Address
- 630 N FODALE AVE
- Address 2
- 630 N FODALE AVE
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-3538
- Phone
- (910) 457-4686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Gerontology — Gerontology |
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