Individual
JENNIFER TATLONGHARI DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL,CHT
Contact information
Practice address
1915 RANDOLPH RD FL 2, CHARLOTTE, NC 28207-1101
(704) 323-3008
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(704) 323-3008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13299
NC
225X00000X
Occupational Therapist
7349
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7349
OT
SC
Enumeration date
06/08/2007
Last updated
11/19/2025
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