Individual
GRETCHEN RUTH CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3100 DURALEIGH RD, SUITE, RALEIGH, NC 27612-8106
(919) 788-8797
(919) 788-8798
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
4642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4642
NORTH CAROLINA OCCUPATIONAL THERAPY LICENSE NUMBER
NC
Enumeration date
12/09/2014
Last updated
12/09/2014
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