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

TAMMY BACCUS, PTA, DOR

Active

TAMMY BACCUS, PTA, DOR is a Occupational Therapist healthcare provider located in FUQUAY VARINA, North Carolina. NPI 1912574765 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FUQUAY VARINA, NC

Registration Details

NPI Number
1912574765
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2021 (5.2085699706963 yrs)
Last Updated
Jun 9, 2021
License
3943 (NC)

Practice Information

Address
1221 BROAD ST
FUQUAY VARINA, NC, 275263602
Browse NC providers · Browse ZIP 27526
Phone
9194245080
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FUQUAY VARINA, NC

Name Credential NPI
MRS. MELISSA MARY SIDELLA PTA 1134312564
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.