Individual
CLARE LOUISE FENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
Mailing address
1064 COACHMAN WAY, SANFORD, NC 27332-6158
(919) 219-6286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10557
NC
Other
Enumeration date
09/12/2016
Last updated
01/31/2019
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