Individual
MARY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5519 SUNLIGHT DRIVE #301, DURHAM, NC 27707
(772) 564-1097
Mailing address
5519 SUNLIGHT DRIVE #301, DURHAM, NC 27707
(772) 564-1097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
749
NC
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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