Individual
CAROL PEREZNAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 NASH ST NE, WILSON, NC 27893-3045
(252) 293-0739
Mailing address
PO BOX 8003, WILSON, NC 27893-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144XR
BCBS
NC
Enumeration date
04/19/2007
Last updated
07/08/2007
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