Individual
JULIE MARIE GRAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 STANSBURY LN, CLAYTON, NC 27527-3908
(919) 553-4105
Mailing address
200 STANSBURY LN, CLAYTON, NC 27527-3908
(919) 553-4105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1353
NC
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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