Individual
KATHLEEN M PANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRL, SUITE 4, RALEIGH, NC 27607-7512
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6902
NC
Other
Enumeration date
08/26/2008
Last updated
06/16/2010
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