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Individual

LARA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
Mailing address
1828 NC 42 HWY, WILLOW SPRING, NC 27592-9002
(910) 612-4330

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9526
NC

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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