Individual
ANDREA KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16147 LANCASTER HWY STE 130, CHARLOTTE, NC 28277-2051
(704) 307-9541
Mailing address
16147 LANCASTER HWY STE 130, CHARLOTTE, NC 28277-2051
(704) 307-9541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12318
NC
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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