Individual
DEATRICE KIERAH MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 FARMHURST DR, CHARLOTTE, NC 28217-4924
(704) 726-3868
Mailing address
501 FARMHURST DR, CHARLOTTE, NC 28217-4924
(704) 726-3868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3715
SC
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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