Individual provider · Type 1 NPI

Nicole Traylor Bare, COTA/L-RN

Occupational Therapy Assistant · Goldsboro, NC

NPI number 1063679025 Active

Practice location

2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727

Call (919) 736-7093 Map

Mailing address

203 King James Way
Pikeville, NC 27863-8398

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X188234 (NC)
Occupational Therapy Assistant Primary 224Z00000X3363 (NC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1063679025

Nicole Traylor Bare, COTA/L-RN's National Provider Identifier is 1063679025, issued on May 19, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Goldsboro, NC. The record was last updated on Jan 6, 2014.