Organization
OCCUPATIONAL THERAPY PLUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GAYNOR OT (OWNER/ PRESIDENT)
(252) 975-1992
Entity
Organization
Contact information
Practice address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 975-1992
Mailing address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 975-1992
(252) 975-3878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211W
BCBS GROUP NUMBER
NC
05
—
720211W
—
NC
Enumeration date
06/15/2006
Last updated
03/31/2010
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