Individual
PATRICK HENDERSON LEMIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7369 HUNTER HILL RD, ROCKY MOUNT, NC 27804-7954
(252) 443-0867
Mailing address
968 WOODGLEN CT, LEXINGTON, KY 40515-5098
(859) 285-8653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
093013
IA
225X00000X
Occupational Therapist
12512
NC
225X00000X
Occupational Therapist
13737
MA
225X00000X
Occupational Therapist
163801
AK
225X00000X
Occupational Therapist
242018
KY
225X00000X
Occupational Therapist
2428
NE
225X00000X
Occupational Therapist
308958
LA
225X00000X
Occupational Therapist
401368
OR
225X00000X
Occupational Therapist
Primary
401368
—
225X00000X
Occupational Therapist
OT-2161
NV
225X00000X
Occupational Therapist
OTH-007672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093013
STATE LICENSE
IA
01
—
12512
STATE LICENSE
NC
01
—
13737
STATE LICENSE
MA
01
—
163801
STATE LICENSE
AK
01
—
242018
STATE LICENSE
KY
01
—
2428
STATE LICENSE
NE
01
—
308958
STATE LICENSE
LA
01
—
401368
STATE LICENSE
OR
01
—
401368
NATIONAL BOARD OF CERTIFICATION FOR OCCUPATIONAL THERAPY
—
01
—
OT-2161
STATE LICENSE
NV
01
—
OTH-007672
STATE LICENSE
AZ
Enumeration date
12/28/2020
Last updated
12/28/2020
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