Individual
PAMELA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
9733 NICKLEBY CT, CHARLOTTE, NC 28210-7803
(704) 543-4227
(704) 543-4227
Mailing address
9733 NICKLEBY CT, CHARLOTTE, NC 28210-7803
(704) 543-4227
(704) 543-4227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3067
NC
Other
Enumeration date
06/17/2010
Last updated
08/13/2010
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