Organization
ETANA THERAPY, PLLC
Active
Organization
ETANA THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FLOWERS OTR/L (OWNER)
(919) 672-1573
Entity
Organization
Contact information
Practice address
1314 AUTUMN RIDGE DR, DURHAM, NC 27712-2661
(919) 672-1573
Mailing address
1314 AUTUMN RIDGE DR, DURHAM, NC 27712-2661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
862
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922255454
NPI
NC
Enumeration date
03/04/2016
Last updated
03/04/2016
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