Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 12811 | NC |
N | 225XE0001X | Environmental Modification | 12811 | NC |
N | 225XF0002X | Feeding, Eating & Swallowing | 12811 | NC |
N | 225XG0600X | Occupational Therapist - Gerontology | 12811 | NC |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 12811 | NC |
N | 225XP0200X | Occupational Therapist - Pediatrics | 12811 | NC |
NPI | 1427097245 |
---|---|
Provider Name | Mrs. Drue Straub Quire |
First Address | Brevard, NC 28712-4312 |
Second Address | Brevard, NC 28712-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 06/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221658 | ANTHEM (01) |