Individual
SAMRAJ JOHNSON GADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 CENTER ST, APEX, NC 27502-7026
(984) 246-9080
(984) 464-2242
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
(980) 288-4239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18160
NC
Other
Enumeration date
03/18/2025
Last updated
11/20/2025
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