Organization
PROVIDENCE THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH M WOOD OTR L (PRESIDENT)
(919) 341-1166
Entity
Organization
Contact information
Practice address
320 HALLWOOD CT, HOLLY SPRINGS, NC 27540-8753
(919) 341-1166
Mailing address
PO BOX 4431, CARY, NC 27519-4431
(919) 341-1166
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211619
—
NC
Enumeration date
02/03/2007
Last updated
08/22/2020
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