Individual
ANNERI JAZMIN MADURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 KELLIE DR, SMITHFIELD, NC 27577-9444
(919) 934-1094
(919) 934-9044
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 220-6971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
08922
MD
225X00000X
Occupational Therapist
Primary
18232
NC
Other
Enumeration date
02/03/2020
Last updated
02/09/2026
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