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Individual

MRS. STACEY CHAMPION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3724 NATIONAL DR, SUITE 110, RALEIGH, NC 27612-4070
(877) 781-9565
Mailing address
3724 NATIONAL DR, SUITE 110, RALEIGH, NC 27612-4070
(877) 781-9565

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
3393
NC

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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