Individual
EMILY PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 GILLESPIE ST, FAYETTEVILLE, NC 28306-1548
(910) 678-2300
Mailing address
810 GILLESPIE ST, FAYETTEVILLE, NC 28306-1548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17584
NC
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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