Individual
TIFFANY LYNN MCGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7501 LEAD MINE RD, RALEIGH, NC 27615-5847
(919) 380-0257
Mailing address
4429 BROOKFIELD DR NW, WILSON, NC 27893-8149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9768
NC
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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