Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 6157 | NC |
NPI | 1649446311 |
---|---|
Provider Name | Mrs. Elizabeth Jaramillo |
First Address | Raleigh, NC 27610-1807 |
Second Address | Raleigh, NC 27610-1807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 02/05/2008 |