Individual
LINDSEY RUTH PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
331 ELK SPUR ST, ELKIN, NC 28621-3307
(276) 791-4467
Mailing address
331 ELK SPUR ST, ELKIN, NC 28621-3307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15623
NORTH CAROLINA OCCUPATIONAL THERAPY LICENSE
NC
Enumeration date
01/16/2023
Last updated
01/16/2023
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