Individual
EMILY KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8514 SIX FORKS RD STE 102, RALEIGH, NC 27615-3254
(919) 465-4424
Mailing address
344 ERVINTOWN RD, RICHLANDS, NC 28574-7157
(910) 650-3865
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17798
NC
Other
Enumeration date
07/17/2025
Last updated
08/07/2025
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