Individual
MADISAN ERCANBRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803B COMPUTER DR STE 200, RALEIGH, NC 27609-6503
(208) 220-2167
Mailing address
1518 CREST RD, RALEIGH, NC 27606-2909
(208) 220-2167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15666
NC
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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