Individual
KELLY A ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-4999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13444
NC
225X00000X
Occupational Therapist
5616
SC
Other
Enumeration date
01/09/2020
Last updated
09/02/2020
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