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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY GORE, PTA

Active Sole Proprietor

STACEY GORE, PTA is a Occupational Therapist healthcare provider located in WILSON, North Carolina. NPI 1770971699 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WILSON, NC

Registration Details

NPI Number
1770971699
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2014 (11.612530186646 yrs)
Last Updated
Dec 30, 2014
License
A2938 (NC)
Sole Proprietor
Yes

Practice Information

Address
1720 PARKWOOD BLVD W
WILSON, NC, 278932167
Browse NC providers · Browse ZIP 27893
Phone
2522060990
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WILSON, NC

Name Credential NPI
CINDY LU FORBES PTA 1225102437
KEVIN TILLERY LPTA 1356464127
MRS. MARTHA ELLEN HEARNE PTA CLT 1134242902
MRS. SARAH DENTON PTA 1588823009
SHANNON DAVIS DEANS PTA 1548410905
TRACI MELTON 1437520582
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.