Individual
YESENIA B STAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1212 MANN DR STE 200, MATTHEWS, NC 28105-5511
(980) 262-3007
(980) 262-3528
Mailing address
4725 EAVES LN, CHARLOTTE, NC 28215-4036
(786) 426-0636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10800
NC
Other
Enumeration date
02/20/2012
Last updated
11/12/2019
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