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Individual

MRS. DONNA POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
116 JOHNSON POINT RD, NEW BERN, NC 28560-7042
(252) 638-2642
Mailing address
116 JOHNSON POINT RD, NEW BERN, NC 28560-7042
(252) 638-2642

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
448
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7301448
NC
Enumeration date
04/26/2007
Last updated
07/08/2007
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