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Individual

MRS. CHERYL HARRIS WIGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
316 LILLINGTON AVE, CHARLOTTE, NC 28204-3130
(980) 819-8458
Mailing address
866 MCALWAY RD # B, CHARLOTTE, NC 28211-1449
(704) 907-5806
(704) 372-9653

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6377
NC
225XP0200X
Pediatric Occupational Therapist
Primary
6377
NC

Other

Enumeration date
03/15/2007
Last updated
07/09/2012
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