Organization
IMAGINATION THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNITA MURTY-GAMI MS OTRL ITFS (MANAGER OCCUPATIONAL THERAPIST)
(919) 324-1881
Entity
Organization
Contact information
Practice address
5856 FARINGDON PL STE 1, RALEIGH, NC 27609-4586
(919) 324-1881
(919) 324-1781
Mailing address
5856 FARINGDON PL STE 1, RALEIGH, NC 27609-4586
(919) 324-1881
(919) 324-1781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303115K
—
NC
Enumeration date
02/09/2010
Last updated
01/14/2011
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