Individual
AMINA CHAUDHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
304 MCREYNOLDS ST, CARTHAGE, NC 28327-6785
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
70613
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70613
NCTRC
—
Enumeration date
10/11/2020
Last updated
10/11/2020
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