Individual
GLORY MARY JOY SORIANO SWAKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 554-4818
Mailing address
104 BEECH BLUFF DR, MOUNT HOLLY, NC 28120-9273
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6122
NC
Other
Enumeration date
05/09/2007
Last updated
11/15/2010
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