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Individual

SUNITA MURTY-GAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS OTRL

Contact information

Practice address
1179 HARP ST, RALEIGH, NC 27604-1303
(314) 749-9654
Mailing address
1179 HARP ST, RALEIGH, NC 27604-1303
(314) 749-9654

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174400000X
Specialist
NC
222Q00000X
Developmental Therapist
225X00000X
Occupational Therapist
Primary
5739
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13972
BCBS
05
7301827
NC
Enumeration date
07/30/2006
Last updated
06/09/2013
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