Individual
CINDY LOU OUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRAIL, SUITE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131HO
BCBS
NC
01
—
6400040
UNITED HEALTHCARE
—
05
—
7301598
—
NC
01
—
7425425
AETNA
—
01
—
8300041K
MEDICAID CBRS
—
05
—
830041K
—
NC
01
—
C3899
MEDCOST
—
Enumeration date
12/26/2006
Last updated
07/09/2007
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