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DEBORAH E MERIDITH LRT/CTRS

>> Recreation Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1295069235

Individual Registrant:
 DEBORAH E MERIDITH LRT/CTRS
Gender: F
Sole Proprietor

Location and contact information for practice:
6657 KIMESVILLE RD  LIBERTY, NC 27298-9108 US
Tel: 336-565-9723  Fax: 336-565-0644

Contact information for business:
6657 KIMESVILLE RD  LIBERTY, NC 27298-9108 US
Tel: 336-565-9723  Fax: 336-565-0644

Registration Information:
NPI: 1295069235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225800000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Recreation Therapist
NC196

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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