Individual
THERESA KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
(910) 323-9010
Mailing address
2930 VILLAGE DR, FAYETTEVILLE, NC 28304-3815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
241001
CO
225X00000X
Occupational Therapist
Primary
7890
NC
Other
Enumeration date
08/20/2010
Last updated
09/10/2012
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