Jeri Danielle Mcrae Ethridge MS, OTR/L

NPI 1063712073 - Occupational Therapist - 225X00000X

NPI Details
NPI 1063712073
Gender Female
Enumeration Date 10/25/2010
Last Updated 10/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
118 RUSTIC LN
SMITHFIELD NC, 27577-9531, US
Phone (919) 989-9771
Fax
Business Location
118 RUSTIC LN
SMITHFIELD NC, 27577-9531, US
Phone (919) 989-9771
Fax
Toxanomy
Taxonomy Code 225X00000X
License State North Carolina
License Number 5658
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According to our database, Mrs. Jeri Danielle Mcrae Ethridge MS, OTR/L NPI is 1063712073, taxonomy code is 225X00000X and license number is 5658, license state is located at North Carolina. Jeri Danielle Mcrae Ethridge MS, OTR/L physically located at 118 Rustic Ln, Smithfield NC, 27577-9531. NPI Number Jeri Danielle Mcrae Ethridge MS, OTR/L has the Individual type.

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1063712073 NPI number is provided on an as is basis without warranty of any kind. 1063712073 is maintained by the National Plan & Provider Enumeration System. The contents of Jeri Danielle Mcrae Ethridge MS, OTR/L are for informational purposes only.