Individual
MR. ERIC JOSEPH MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
(910) 672-0061
(910) 672-0061
Mailing address
3525 BIRKDALE CT, FAYETTEVILLE, NC 28303-4684
(910) 868-3824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3422
NC
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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