Individual
KAYLA BAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2102 CAMBRIDGE BELTWAY DR STE E, CHARLOTTE, NC 28273-4354
(704) 799-6824
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15604
NC
Other
Enumeration date
02/02/2023
Last updated
10/05/2023
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