Individual
KAYLA FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5708 ALANHURST PL, CHARLOTTE, NC 28217-4004
(704) 975-9217
Mailing address
5708 ALANHURST PL, CHARLOTTE, NC 28217-4004
(704) 975-9217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16755
NC
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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