Individual
BRIANNA PAIGE KEREKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
Mailing address
120 SAINT ALBANS DR, RALEIGH, NC 27609-6399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11394
NC
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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