Individual
STACEY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
100 SAINT ANDREWS PL, SOUTHERN PINES, NC 28387-2347
(906) 450-3482
Mailing address
100 SAINT ANDREWS PL, SOUTHERN PINES, NC 28387-2347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17927
NC
Other
Enumeration date
05/11/2026
Last updated
05/13/2026
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