Most Relevant Information
Provider Data
NPI Number: | 1003579368 |
Provider Name: | CARLY ROCHELLE MAREADY |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 14495 |
Most Important Dates
Enumeration Date: | 10/14/2021 |
Last Updated: | 01/24/2022 |
Provider Practice Location
101 N PLAIN RD
JACKSONVILLE
NC
285466760
Practice Location Phone/Fax
Phone: | 9105028738 |
Fax: |
Provider Mailing Location
122 BRINKLEY LN
JACKSONVILLE
NC
285469295
Provider Mailing Phone/Fax
Phone: | 9109344726 |
Fax: |