Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0717 | NC |
NPI | 1891288353 |
---|---|
Provider Name | Ellen S Scherling-Morales |
First Address | Fayetteville, NC 28304-1541 |
Second Address | Fayetteville, NC 28301-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2018 |
Last Update Date | 04/08/2021 |