Individual
DEIRDRE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8848 RED OAK BLVD, CHARLOTTE, NC 28217-4053
(980) 422-5887
Mailing address
104 HORSESTABLE CT, MOORESVILLE, NC 28115-7139
(914) 356-5377
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14232
NC
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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