Individual
MRS. KELLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4184
Mailing address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3008
NC
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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