Most Relevant Information
Provider Data
| NPI Number: | 1003336439 |
| Provider Name: | LAURA WISE MACLEAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 9354 |
Most Important Dates
| Enumeration Date: | 06/27/2017 |
| Last Updated: | 02/17/2022 |
Provider Practice Location
1555 CAIN RD
FAYETTEVILLE
NC
283033078
Practice Location Phone/Fax
| Phone: | 9104235622 |
| Fax: | 9103781755 |
Provider Mailing Location
4602 CUMBERLAND RD STE G
FAYETTEVILLE
NC
283062412
Provider Mailing Phone/Fax
| Phone: | 9104235622 |
| Fax: | 9103781755 |