Individual
KATELYN E DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7369 HUNTER HILL RD, ROCKY MOUNT, NC 27804-7954
(252) 443-0867
Mailing address
1844 TIMBERS WEST BLVD, ROCKLEDGE, FL 32955-3425
(321) 720-2375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12069
NC
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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