Provider Demographics
NPI:1497895668
Name:POHL, ALICE ELIZABETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:ELIZABETH
Last Name:POHL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 LASSITER FARMS LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5996
Mailing Address - Country:US
Mailing Address - Phone:919-934-8485
Mailing Address - Fax:
Practice Address - Street 1:110 CORNING RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-9235
Practice Address - Country:US
Practice Address - Phone:919-858-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3972225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist