Individual
RACHEL STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 544-9021
Mailing address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11151
NC
224Z00000X
Occupational Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11151
CERTIFICATION NUMBER
NC
Enumeration date
03/21/2019
Last updated
03/21/2019
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