Provider Demographics
NPI:1700053295
Name:MESSICK, L'TOYNYA MCKOY (COTA)
Entity Type:Individual
Prefix:MRS
First Name:L'TOYNYA
Middle Name:MCKOY
Last Name:MESSICK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 CANETUCK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9018
Mailing Address - Country:US
Mailing Address - Phone:910-617-2381
Mailing Address - Fax:
Practice Address - Street 1:1478 RIVER RD SE
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5821
Practice Address - Country:US
Practice Address - Phone:910-383-2823
Practice Address - Fax:910-383-2823
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5965224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant