Individual
JULIA E TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3727 ROSE LAKE DR, SUITE 103, CHARLOTTE, NC 28217-2846
(704) 778-7192
Mailing address
3727 ROSE LAKE DR, SUITE 103, CHARLOTTE, NC 28217-2846
(704) 778-7192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225X00000X
—
NC
Enumeration date
01/28/2013
Last updated
01/28/2013
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