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Individual

MS. JANICE WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
8801 J M KEYNES DR STE 290, CHARLOTTE, NC 28262-8436
(704) 423-9449
(704) 423-9455
Mailing address
5043 TUCKER AVE, KANNAPOLIS, NC 28081-7418
(980) 521-7097

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4474
NC

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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