Individual
JAMES PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
Mailing address
504 MAIZE CT, HUBERT, NC 28539-4075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11553
NC
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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