Individual
MRS. PAULA W. HOOGERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 LILLINGTON AVE, CHARLOTTE, NC 28204-3130
(980) 819-8458
Mailing address
316 LILLINGTON AVE, CHARLOTTE, NC 28204-3130
(980) 819-8458
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
741
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301788
—
NC
Enumeration date
03/19/2013
Last updated
03/19/2013
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