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Individual
CHARLES R KOLB JR.
Active
Individual
CHARLES R KOLB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5448
NC
225XG0600X
Gerontology Occupational Therapist
Primary
OT.5241
SC
Other
Enumeration date
02/01/2015
Last updated
05/01/2018
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