Individual
JEFFREY AARON SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 MILTON RD, CHARLOTTE, NC 28215-3317
(704) 405-0730
Mailing address
12418 BLOSSOMING CT, CHARLOTTE, NC 28273-6952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11163
NC
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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