Individual
PHILLIP FIREHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-2030
Mailing address
306 W GLENDALE AVE, ALEXANDRIA, VA 22301-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17034
NC
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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