Individual
TARISSA LYN VREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4410 LAUREL TWIG CT, CHARLOTTE, NC 28215-9002
(704) 249-7418
Mailing address
5919 PROVIDENCE RD APT 14, CHARLOTTE, NC 28226-5901
(315) 436-5475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12683
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
05/11/2017
Last updated
08/12/2019
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