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Organization

RECREATE YOURSELF, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA HOLMES LRT, CTRS, CBIS (OWNER/RECREATIONAL THERAPIST)
(919) 412-2810
Entity
Organization

Contact information

Practice address
404 HAWKS BLUFF CT, WAKE FOREST, NC 27587-3398
(984) 208-6566
Mailing address
404 HAWKS BLUFF CT, WAKE FOREST, NC 27587-3398
(919) 412-2810

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
04/20/2024
Last updated
04/20/2024
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