Individual
ANGELA LYNCH FANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
600A VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-4438
(919) 285-2157
Mailing address
212 PLACID CREEK LN, APEX, NC 27539-8400
(410) 800-8763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10287
NC
Other
Enumeration date
04/06/2007
Last updated
08/19/2024
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