Individual
MS. KYRA NICOLE HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20319 LOBO LN UNIT 202, CHARLOTTE, NC 28216-0166
(240) 422-7396
Mailing address
20319 LOBO LN UNIT 202, CHARLOTTE, NC 28216-0166
(240) 422-7396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18213
NC
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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