Individual
BRIDGET GILLIS RASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 SPRINGBROOK AVE, CLAYTON, NC 27520-8105
(912) 550-7200
Mailing address
13 BELLEFIELD LN, CLAYTON, NC 27527-8313
(252) 814-3574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9611
NC
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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