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Individual

MRS. STACEY BARBER GILMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
Mailing address
177 SHILOH WOODS DR, TROY, NC 27371-9113
(910) 571-8373

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8795
NC

Other

Enumeration date
08/15/2013
Last updated
08/04/2016
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