Individual
JACQUELINE A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4645
(704) 355-4231
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4645
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NC
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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