Individual
KAYLEIGH L FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 MEDICAL PARK DR, CONCORD, NC 28025-3959
(561) 601-0830
Mailing address
1020 FLAT ROCK RD, CHINA GROVE, NC 28023-9598
(561) 601-0830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12060
NC
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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