Individual
MICHELLE RENE SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9075 ROSALYN GLEN RD, CORNELIUS, NC 28031
(704) 450-1992
Mailing address
9075 ROSALYN GLEN RD, CORNELIUS, NC 28031
(704) 450-1992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5032
NC
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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