Provider Demographics
NPI:1821495227
Name:POLLEY, ELIZABETH CAMBY (OTR/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CAMBY
Last Name:POLLEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WHEELING DR
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-7067
Mailing Address - Country:US
Mailing Address - Phone:864-680-4412
Mailing Address - Fax:
Practice Address - Street 1:15 WHEELING DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-7067
Practice Address - Country:US
Practice Address - Phone:864-680-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9498225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist