Individual
EMILY KATHLEEN PETERSON SELFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2420 STEWART ST, FUQUAY VARINA, NC 27526-8995
(919) 762-6015
Mailing address
2420 STEWART ST, FUQUAY VARINA, NC 27526-8995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10474
NC
Other
Enumeration date
01/24/2022
Last updated
11/06/2025
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