Organization
CHAPEL HILL SKATE PROGRAM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN OGILVY OTA (PROVIDER)
(919) 932-7399
Entity
Organization
Contact information
Practice address
109 PLANT RD, CHAPEL HILL, NC 27514-3337
(919) 932-7399
Mailing address
PO BOX 17301, CHAPEL HILL, NC 27516-7200
(919) 932-7399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
06/09/2023
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