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Individual

MRS. THERESA DULSKI LIVELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3100 PIEDMONT DR, RALEIGH, NC 27604-3651
(919) 878-6730
Mailing address
3100 PIEDMONT DR, RALEIGH, NC 27604-3651
(919) 878-6730

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
404
NC

Other

Enumeration date
12/09/2008
Last updated
12/09/2008
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