Individual
JOHANNA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 SMOKETREE WAY, LOUISBURG, NC 27549-2165
(919) 496-2188
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11407
NC
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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