Individual
CAILEN JANE EASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
4924 HOLLAND CHURCH RD, RALEIGH, NC 27603-9729
(919) 896-2249
(919) 882-8066
Mailing address
4924 HOLLAND CHURCH RD, RALEIGH, NC 27603-9729
(919) 896-2249
(919) 882-8066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12627
NC
Other
Enumeration date
07/15/2019
Last updated
08/07/2019
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