Individual
MRS. STEPHANIE SEYMORE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1532 STERLING RD, CHARLOTTE, NC 28209-1546
(980) 721-4839
Mailing address
1532 STERLING RD, CHARLOTTE, NC 28209-3104
(980) 721-4839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4041
NC
Other
Enumeration date
07/30/2009
Last updated
05/05/2015
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