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Individual

KIM RENUART TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L CHT

Contact information

Practice address
3404 WAKE FOREST RD, SUITE 303, RALEIGH, NC 27609-7341
(919) 872-3171
(919) 872-6739
Mailing address
3404 WAKE FOREST RD, SUITE 303, RALEIGH, NC 27609-7341
(919) 872-3171
(919) 872-6739

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0182
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00297472
RAILROAD MEDICARE
NC
Enumeration date
04/10/2006
Last updated
11/14/2007
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