Organization
RARE THEARPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS HARVIN LTR/CTRS (ADMINSTRATOR/THERAPIST)
(828) 443-5678
Entity
Organization
Contact information
Practice address
1607 TEMPLE ST SW, VALDESE, NC 28690-9330
(828) 443-5678
Mailing address
1607 TEMPLE ST SW, VALDESE, NC 28690-9330
(828) 443-5678
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
876
NC
Other
Enumeration date
02/12/2011
Last updated
02/12/2011
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