Individual
SALLY JO PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-6508
Mailing address
23 MARTIN DR, WHISPERING PINES, NC 28327-9335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105272
MN
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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