Individual
KAELEA ROSE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 S BECKFORD DR, HENDERSON, NC 27536-2564
(252) 438-6141
Mailing address
400 JAMESTOWN RD, PORTAGE, PA 15946-6714
(814) 418-0160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11182
NC
Other
Enumeration date
10/10/2017
Last updated
03/17/2018
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