Organization
THERAPY HOUSE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERI PETREA PAUL (BILLING)
(252) 426-9907
Entity
Organization
Contact information
Practice address
344 LAKE RD, HERTFORD, NC 27944-8775
(252) 426-9907
(252) 426-9909
Mailing address
344 LAKE RD, HERTFORD, NC 27944-8775
(252) 426-9907
(252) 426-9909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14230
BCBS
NC
05
—
7212046
—
NC
05
—
7301921
—
NC
Enumeration date
07/17/2006
Last updated
08/12/2016
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