Individual
KAE A HORMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16405 NORTHCROSS DR, SUITE G-2, HUNTERSVILLE, NC 28078-5091
(704) 439-3406
Mailing address
16405 NORTHCROSS DR, SUITE G-2, HUNTERSVILLE, NC 28078-5091
(704) 439-3406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007454
MI
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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