Organization
ENABLING OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LYNN BITTNER MS (OTR/L- OCCUPATIONAL THERAPIST)
(919) 923-6067
Entity
Organization
Contact information
Practice address
5012 ROLLING MEADOWS DR, DURHAM, NC 27703-9239
(919) 923-6067
(919) 957-0055
Mailing address
5012 ROLLING MEADOWS DR, DURHAM, NC 27703-9239
(919) 923-6067
(919) 957-0055
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301882
—
NC
Enumeration date
05/13/2009
Last updated
05/13/2009
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