Individual
DESTINI HARDY-STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27835
(252) 847-4100
Mailing address
2100 STANTONSBURG ROAD, GREENVILLE, NC 27835
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
6880
NC
Other
Enumeration date
08/31/2011
Last updated
04/04/2012
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