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Individual

JUSTIN BARBOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
214 COCHRAN AVE, FAYETTEVILLE, NC 28301-3875
(843) 478-5625
Mailing address
728 CERTIFICATE CT, CHARLESTON, SC 29414-9117
(843) 478-5625

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3443
SC
225X00000X
Occupational Therapist
Primary
7313
NC

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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