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Individual

MS. MAYA PREEDOM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
600 N MADISON AVE, GOLDSBORO, NC 27530-3143
(919) 739-0047
(919) 739-9041
Mailing address
PO BOX 362, PIKEVILLE, NC 27863-0362
(919) 739-0047
(919) 739-9041

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5243
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136U8
BCBS INDIVIDUAL
NC
05
7301695
NC
Enumeration date
02/27/2006
Last updated
07/09/2007
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