Individual
KADIE ALYSSA PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
240 BRANCHVIEW DR NE, CONCORD, NC 28025-3498
(704) 723-4705
Mailing address
2305 APPLEGATE DR, CONCORD, NC 28027-9669
(980) 621-0557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
978350968
GPA
NC
Enumeration date
08/16/2018
Last updated
08/16/2018
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