Individual
JUANITA MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 ALEXANDER RD, CONCORD, NC 28027-8447
(704) 408-1416
Mailing address
5730 ALEXANDER RD, CONCORD, NC 28027-8447
(704) 408-1416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9986
NC
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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