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Individual

KAREN GREEN SCOFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, OTR,L

Contact information

Practice address
3500 REGENCY PKWY, SUITE 120, CARY, NC 27511-8519
(919) 465-3966
Mailing address
105 CHAPARRAL CT, CARY, NC 27513-4744
(919) 388-8419

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4302
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126XX
BLUE CROSS BLUE SHIELD
NC
05
7301412
NC
Enumeration date
02/06/2007
Last updated
07/08/2007
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