Individual
MR. JOHN C HURTADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3100 TRAMWAY RD, SANFORD, NC 27332-7142
(919) 775-5404
Mailing address
145 SORGHUM WAY, FAYETTEVILLE, NC 28314-1320
(910) 231-2392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7927
NC
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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