Organization
CONNECTED KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN BRUCE MS, OTR/L (OWNER/PROVIDER)
(919) 593-3582
Entity
Organization
Contact information
Practice address
1818 MERRIMAN AVE, CHARLOTTE, NC 28203-4612
(919) 593-3582
Mailing address
1818 MERRIMAN AVE, CHARLOTTE, NC 28203-4612
(919) 593-3582
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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