Individual
MRS. ALICIA MARIE TABBUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5411 REUNION PT, APT. 303, RALEIGH, NC 27609-1107
(814) 602-5840
Mailing address
5411 REUNION PT, APT. 303, RALEIGH, NC 27609-1107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8549
NC
225X00000X
Occupational Therapist
OC011539
PA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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