Organization
THRIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BUCK SOUTHERLAND (OCCUPATIONAL THERAPIST)
(443) 564-7275
Entity
Organization
Contact information
Practice address
1505 E BARDEN RD, CHARLOTTE, NC 28226-5831
(443) 564-7275
Mailing address
1505 E BARDEN RD, CHARLOTTE, NC 28226-5831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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