Individual
ERICA MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FORSYTHE ST, FAYETTEVILLE, NC 28303-5454
(910) 218-9801
Mailing address
400 FORSYTHE ST, FAYETTEVILLE, NC 28303-5454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13160
NC
Other
Enumeration date
02/18/2021
Last updated
07/10/2023
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