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1942344908
TERESA M. FORTNER
RALEIGH, NC
NPI
1942344908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4712)
Enumeration Date
2007-02-16
Last Update Date
2015-10-05
Business Address
-- TERESA M. FORTNER M.O.T. OTR L
3716 NATIONAL DR SUITE 124
RALEIGH, NC 27612-4068
Phone number: 919-815-0638
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Mailing Address
-- TERESA M. FORTNER M.O.T. OTR L
3512 FOY GLEN CT
APEX, NC 27539-3682
Phone number: 919-815-0638
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