Individual
MRS. JODY LYNN PADUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, REHAB MANGER
Contact information
Practice address
5935 MOUNT SINAI RD, DURHAM, NC 27705-8616
(919) 402-2450
(919) 402-2452
Mailing address
5935 MOUNT SINAI RD, DURHAM, NC 27705-8616
(919) 402-2450
(919) 402-2452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4602
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4602
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
04/29/2008
Last updated
08/22/2012
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