Individual
PAMELA K EDGAR WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3315 SPRINGBANK LN, SUITE 206, CHARLOTTE, NC 28226-3197
(704) 287-7365
(704) 341-2244
Mailing address
5952 OLD PROVIDENCE RD, CHARLOTTE, NC 28226-6808
(704) 287-7365
(704) 364-4232
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12744
BCBS
NC
05
—
7301422
—
NC
Enumeration date
03/29/2007
Last updated
09/12/2007
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