Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 13564 | NC |
NPI | 1134716400 |
---|---|
Provider Name | Rebekah Ann Sturgess |
First Address | Durham, NC 27707-3372 |
Second Address | Durham, NC 27707-3372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2020 |
Last Update Date | 21/12/2020 |