Individual
JEANETTE SILVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
104 CARMEL CT, KERNERSVILLE, NC 27284-2477
(336) 681-4742
(888) 582-5670
Mailing address
PO BOX 2061, KERNERSVILLE, NC 27285-2061
(336) 681-4742
(888) 582-5670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4696
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148A7
BLUE CROSS BLUE SHIELD
NC
05
—
7302077
—
NC
Enumeration date
02/18/2008
Last updated
07/24/2013
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