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Individual

MS. JAN GAIL HARDCOPF -BICKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTRL

Contact information

Practice address
1800 MAIN ST W, LOCUST, NC 28097-7700
(704) 781-4090
(704) 781-5468
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
(704) 824-2822

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004289
VA
225X00000X
Occupational Therapist
Primary
7995
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7995
OTR LICENCE
NC
Enumeration date
05/25/2007
Last updated
03/17/2018
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