Individual
JOAN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8919 PARK RD, CHARLOTTE, NC 28210-7629
(704) 551-7100
(704) 295-0013
Mailing address
5561 ALEXANDRITE WAY, FORT MILL, SC 29708-8377
(803) 396-0263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2405
SC
225X00000X
Occupational Therapist
Primary
3438
NC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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