Individual
MS. TOMEICO L. FAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1103 POPLAR AVE, GARNER, NC 27529-3834
(919) 451-0313
Mailing address
1103 POPLAR AVE, GARNER, NC 27529-3834
(919) 451-0313
(919) 562-9441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4761
PROFESSIONAL OT LICENSE
NC
Enumeration date
07/22/2006
Last updated
05/25/2012
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