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Individual

KASSANDRA KITNEY TALLARICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2755 UNION RD, GASTONIA, NC 28054-7015
(704) 756-7476
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 438-2020
(888) 689-8070

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020071
NY
225X00000X
Occupational Therapist
Primary
10651
NC

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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