Jennie L Roach OTR/L

NPI 1326213059 - Occupational Therapist - 225X00000X

NPI Details
NPI 1326213059
Gender Female
Enumeration Date 04/24/2008
Last Updated 04/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
901 HALSTEAD BLVD
ELIZABETH CITY NC, 27909-6920, US
Phone (252) 338-0137
Fax (252) 338-4512
Business Location
1110 REID DR
ELIZABETH CITY NC, 27909-2724, US
Phone (252) 338-0137
Fax (252) 338-4512
Toxanomy
Taxonomy Code 225X00000X
License State North Carolina
License Number 1704
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According to our database, Mrs. Jennie L Roach OTR/L NPI is 1326213059, taxonomy code is 225X00000X and license number is 1704, license state is located at North Carolina. Jennie L Roach OTR/L physically located at 901 Halstead Blvd, Elizabeth City NC, 27909-6920. NPI Number Jennie L Roach OTR/L has the Individual type.

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1326213059 NPI number is provided on an as is basis without warranty of any kind. 1326213059 is maintained by the National Plan & Provider Enumeration System. The contents of Jennie L Roach OTR/L are for informational purposes only.