Organization
ALLEGHANY STAR GROUP, LLC
Active
Other names
Alleghany Star Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIE L SMITH OTR (OWNER)
(336) 372-7887
Entity
Organization
Contact information
Practice address
295 N. MAIN STREET, SPARTA, NC 28675
(336) 372-7887
(336) 372-7887
Mailing address
PO BOX 1925, SPARTA, NC 28675-1925
(336) 372-7887
(336) 372-7887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
791
NC
Other
Enumeration date
01/05/2007
Last updated
10/31/2011
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