Individual
LISA KONSTANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 J N PEASE PL STE 203, CHARLOTTE, NC 28262-4527
(704) 817-8230
Mailing address
1977 J N PEASE PL STE 203, CHARLOTTE, NC 28262-4527
(704) 817-8230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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