Individual
JOHN JEFFERY ACHTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
290 KEEL RD, GRANTSBORO, NC 28529-9424
(252) 745-5005
Mailing address
1530 MASON SCHOOL RD, STOKES, NC 27884-9797
(919) 207-7627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12342
NC
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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