# MODERN ALCHEMY INTEGRATIVE WOMEN'S HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306440953
- **Authorized official:** HEATHER MARIE TRUOG OTD, OTR/L (OWNER)
- **Authorized official phone:** (269) 760-7867

## Contact information

- **Practice address:** 220A E FRONT ST, NEW BERN, NC 28560-2146
- **Practice address phone:** (252) 626-4401
- **Mailing address:** 119 SHOREVIEW DR, NEW BERN, NC 28562-6611
- **Mailing address phone:** (269) 760-7867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 01/11/2021
