Individual
MRS. KIRSTIE CORRIHER PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, COTA/L
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
(704) 824-3999
Mailing address
1284 OLD CHARLOTTE RD, CONCORD, NC 28027-7077
(704) 239-1888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13480
NC
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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