Organization
SHINING STARS THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M SOLOMON OTR/L (OWNER/PRESIDENT)
(919) 557-8305
Entity
Organization
Contact information
Practice address
304 JUDD PLACE DRIVE, FUQUAY VARINA, NC 27526-2210
(919) 557-8305
(919) 557-8306
Mailing address
304 JUDD PLACE DRIVE, FUQUAY VARINA, NC 27526-2210
(919) 557-8305
(919) 557-8306
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6790
NC
Other
Enumeration date
07/16/2009
Last updated
11/16/2016
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