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Individual

VEDA PRABHAKARAN KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800
Mailing address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-7800

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14861
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14861
PROFESSIONAL LICENSE
NC
Enumeration date
03/09/2022
Last updated
12/13/2023
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