Healthcare Provider Details

I. General information

NPI: 1427097245
Provider Name (Legal Business Name): DRUE STRAUB QUIRE MOTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 N ENGLAND ST UNIT B
BREVARD NC
28712-4312
US

IV. Provider business mailing address

34 N ENGLAND ST UNIT B
BREVARD NC
28712-4312
US

V. Phone/Fax

Practice location:
  • Phone: 27-271-8155
  • Fax:
Mailing address:
  • Phone: 502-727-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number12811
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number12811
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number12811
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12811
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code224ZL0004X
TaxonomyLow Vision Occupational Therapy Assistant
License Number12811
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number12811
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number12811
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: