Individual
KIM TOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
(704) 542-0699
Mailing address
10516 PARK RD, CHARLOTTE, NC 28210-8405
(704) 541-9080
(704) 542-0699
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9752
NC
Other
Enumeration date
10/15/2014
Last updated
06/29/2015
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