Individual
CARLY RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164247752
OPTUM
NC
01
—
1164847752
MEDCOST
NC
05
—
1164847752
—
NC
Enumeration date
03/16/2017
Last updated
03/16/2017
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