Individual
KYLE DAMIEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2675 COURT DR # B, GASTONIA, NC 28054-1478
(704) 824-4999
Mailing address
2675 COURT DR # B, GASTONIA, NC 28054-1478
(704) 824-4999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12762
NC
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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