Provider Demographics
NPI:1831747112
Name:WEBB, DEBORAH (OT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SEVENDALES DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-6353
Mailing Address - Country:US
Mailing Address - Phone:919-581-7065
Mailing Address - Fax:
Practice Address - Street 1:272 US-70
Practice Address - Street 2:
Practice Address - City:SEALEVEL
Practice Address - State:NC
Practice Address - Zip Code:28577
Practice Address - Country:US
Practice Address - Phone:252-225-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist