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Individual

LANA BETH DEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 734-2505
Mailing address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 734-2505

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5548
NC

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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