Individual
JESSICA ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
Mailing address
570 GOLFERS VW, PITTSBORO, NC 27312-9552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10042
NC
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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