Individual
NANCY MCNEILL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4610 HOLLY TREE RD, 304, WILMINGTON, NC 28409-8556
(910) 859-8296
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2588
NC
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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