Recreate Yourself, LLC
NPI #1760237036 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1760237036
- Entity Type
- Organization
- Organization Name
- Recreate Yourself, LLC
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- Apr 20, 2024
- Last Updated
- Apr 20, 2024
Practice Location
- Address
- 404 HAWKS BLUFF CT
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3398
- Phone
- (984) 208-6566
Authorized Official
- Name
- LAURA HOLMES, LRT, CTRS, CBIS
- Title
- OWNER/RECREATIONAL THERAPIST
- Phone
- (919) 412-2810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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