Individual
ANNA DEDIEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9200 GLENWATER DR, CHARLOTTE, NC 28262-8557
(704) 549-0807
Mailing address
10215 CALDWELL DEPOT RD, CORNELIUS, NC 28031-8119
(513) 543-5739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17188
NC
Other
Enumeration date
02/05/2020
Last updated
10/28/2024
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