Individual
PATRICE LEANN STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD, CHT
Contact information
Practice address
2145 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-2403
(252) 726-1802
(252) 726-1805
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(252) 726-1802
(252) 726-1805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8288
NC
225XH1200X
Hand Occupational Therapist
04985
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8288
OT LICENSE
NC
Enumeration date
12/15/2005
Last updated
01/15/2024
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