Nurtured Radiance Wellness

NPI #1205659570 in Knightdale, North Carolina

Provider Information

NPI Number: 1205659570
Entity Type: Organization
Organization Name: Nurtured Radiance Wellness
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 5, 2024
Last Updated: Nov 5, 2024

Practice Location

Address: 405 KNIGHTDALE STATION RUN
City: Knightdale
State: North Carolina
ZIP Code: 27545-7288
Phone: (845) 665-2888

Authorized Official

Name: ANASTASIA GIBSON
Title: OWNER
Phone: (845) 665-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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