Individual
KATHERINE MOORE HENRIQUES FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 SMALL COUNTRY LN, MIDLAND, NC 28107-7239
(704) 771-0051
Mailing address
1048 GARROW RD, FORT MILL, SC 29707-5529
(704) 771-0051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9428
NC
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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