Individual
MRS. CASSANDRA MARIA SPIVEY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 FALLS RIVER AVE, RALEIGH, NC 27614-7772
(919) 803-2912
Mailing address
108 S DIXON AVE, CARY, NC 27511-3202
(919) 815-1195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6979
NC
Other
Enumeration date
09/29/2008
Last updated
10/07/2011
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