Individual
KEELY LYNN FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-4699
(919) 684-8111
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14831
NC
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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