Harrietthall Witherspoon, COTA/L

NPI 1740503812 · on the registry since 2010 · sole proprietor

Practice

Address: 630 N Fodale Ave
630 N Fodale Ave
Southport, NC 28461
Phone: (910) 457-4686
Organisation at this address: Liberty Healthcare Group Llc
Ocean Trail Convalescent Center
Ocean Trail Convalescent Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 225XG0600X
225XG0600X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina