Individual
KELLY HEMPHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15112 SUPERIOR ST, CHARLOTTE, NC 28273-6867
(704) 618-9206
Mailing address
15112 SUPERIOR ST, CHARLOTTE, NC 28273-6867
(704) 618-9206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006059
VA
225X00000X
Occupational Therapist
16868
FL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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