Individual
MRS. ELIZABETH AUSTIN JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
615 SPRING FOREST RD, RALEIGH, NC 27609-9150
(919) 981-6100
Mailing address
2313 VERDANT CT, WAKE FOREST, NC 27587-3407
(919) 217-5561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5266
NC
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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