Individual
MYRA LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Mailing address
4602 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
(910) 423-5622
(910) 378-1755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12106
LICENSE NUMBER
NC
Enumeration date
01/07/2019
Last updated
01/07/2019
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