Individual
MICHELLE ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 COX RD, GASTONIA, NC 28054-3453
(704) 867-7455
Mailing address
418 E FLORIDA AVE, BESSEMER CITY, NC 28016-2101
(704) 629-0061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4094
LICENSE#
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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