| Shining Stars Therapy, Pa | |
|
304 Judd Place Drive, Fuquay Varina, NC 27526-2210 | |
| (919) 557-8305 | |
| (919) 557-8306 |
| Full Name | Shining Stars Therapy, Pa |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 304 Judd Place Drive, Fuquay Varina, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124258785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 6790 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Stars Therapy, Pa 304 Judd Place Drive, Fuquay Varina, NC 27526-2210 Ph: (919) 557-8305 | Shining Stars Therapy, Pa 304 Judd Place Drive, Fuquay Varina, NC 27526-2210 Ph: (919) 557-8305 |
Ms. Madalyn Marie Payden, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-578-8780 | |
Pamela Graham, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Fuquay Varina, NC 27526 Phone: 616-717-1665 | |
Joanne Scannell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 South Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Mrs. Bridget Ann Peterson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 S Fuquay Ave, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Lara Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 | |
Mrs. Jennifer Helen Popham, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Judd Place Dr, Fuquay Varina, NC 27526 Phone: 919-557-8305 Fax: 919-557-8306 |