Individual
SUZANNE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7301 CARMEL EXECUTIVE PARK DR, SUITE 310, CHARLOTTE, NC 28226-8251
(704) 752-1616
(704) 759-0799
Mailing address
7402 SUN DANCE DR., FORT MILL, SC 29715
(803) 802-0475
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4194
NC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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