Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XL0004X | Low Vision | 0757 | NC |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0757 | NC |
N | 225XR0403X | Driving and Community Mobility | 0757 | NC |
NPI | 1437430493 |
---|---|
Provider Name | Mrs. Fay Jobe Tripp |
First Address | Chapel Hill, NC 27516-7485 |
Second Address | Chapel Hill, NC 27516-7485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2011 |
Last Update Date | 05/09/2011 |