Organization
CAROLINA MOBILE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BEATRICE R VINES OT (OT/L)
(919) 413-9901
Entity
Organization
Contact information
Practice address
5701 QUAIL COVEY LN, WENDELL, NC 27591-9506
(919) 413-9901
Mailing address
5701 QUAIL COVEY LN, WENDELL, NC 27591-9506
(919) 413-9901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0780
NC
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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