Individual
MRS. CHRISTINA KAY DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6000 PARK SOUTH DR, CHARLOTTE, NC 28210-3298
(704) 643-1400
Mailing address
6000 PARK SOUTH DR, CHARLOTTE, NC 28210-3298
(704) 643-1400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6608
NC
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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