Individual
LEEANN PARKER PETRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 CORNING RD, CARY, NC 27518-9229
(919) 431-7400
Mailing address
9224 CORNWELL DR, WAKE FOREST, NC 27587-5050
(919) 673-7363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1343P
BCBS
—
01
—
6400040
UNITED HEALTHCARE
—
01
—
7283522
AETNA
—
05
—
7301650
—
NC
05
—
8300041K
—
NC
01
—
C7994
MEDCOST
—
Enumeration date
12/26/2006
Last updated
04/16/2026
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