Individual
JONI B HOSTUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8801 J M KEYNES DR STE 205, CHARLOTTE, NC 28262-6418
(704) 971-4600
Mailing address
1905 MADEIRA CIR, WAXHAW, NC 28173-7199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6974
NC
Other
Enumeration date
06/08/2021
Last updated
06/28/2021
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