Individual
CONSTANCE WAKEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
321 S COLUMBIA ST, BONDURANT HALL SUITE 2050, CHAPEL HILL, NC 27599-7122
(919) 843-4464
(919) 966-9007
Mailing address
321 S COLUMBIA ST, BONDURANT HALL SUITE 2050, CHAPEL HILL, NC 27599-7122
(919) 843-4464
(919) 966-9007
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
543
NC
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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