Organization
JERI DEE OT CONSULTATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI DANIELLE MCRAE ETHRIDGE OT (OWNER)
(919) 696-1499
Entity
Organization
Contact information
Practice address
118 RUSTIC LN, SMITHFIELD, NC 27577-9531
(919) 696-1499
Mailing address
118 RUSTIC LN, SMITHFIELD, NC 27577-9531
(919) 696-1499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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