Preedom, Maya

Preedom, Maya is an individual health care provider with primary practice located at 600 N Madison Ave , Goldsboro NC 27530-3143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Preedom, Maya can be contacted via phone (919) 739-0047.

Contact Information

Primary practice address
600 N Madison Ave Goldsboro NC 27530-3143
Phone: (919) 739-0047
Fax: (919) 739-9041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5243 North Carolina

Profile Details

NPI number 1831165125
LBN Legal business name Preedom, Maya
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831165125 NPPES
North Carolina Other 136U8 BCBS INDIVIDUAL
North Carolina MEDICAID 7301695 BCBS INDIVIDUAL

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