Individual
EILEEN ELIZABETH HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
4909 WATERS EDGE DR STE 100, RALEIGH, NC 27606-2462
(919) 285-1647
Mailing address
4909 WATERS EDGE DR STE 100, RALEIGH, NC 27606-2462
(919) 576-1366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13202
NC
Other
Enumeration date
07/23/2020
Last updated
06/23/2023
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