Individual
GRACE GOODPASTURE OPPENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
901 SPRING ARBOR CT, APEX, NC 27502-4951
(984) 646-0132
Mailing address
701 HAY RIVER ST, GARNER, NC 27529-6219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12626
NC
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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