Individual
KATIE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 BREMERTON DR, GREENVILLE, NC 27858-6548
(252) 412-1564
Mailing address
PO BOX 2417, WINTERVILLE, NC 28590-2417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301942
—
NC
Enumeration date
08/23/2007
Last updated
08/23/2007
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