Individual
SUSAN AGOSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
Mailing address
121 HUNT CLUB LN, APT H, RALEIGH, NC 27606-1893
(203) 364-6350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
11/01/2018
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