Individual
KATHERINE GAYLE WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5948 FISHER RD, FAYETTEVILLE, NC 28304-5640
(910) 423-5622
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467433680
—
NC
Enumeration date
06/17/2021
Last updated
06/17/2021
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