Individual
MRS. GUERLANDE EXALIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3500 SHAMROCK DR, CHARLOTTE, NC 28215-3214
(919) 630-3563
Mailing address
8816 AVEBURY DR APT C, CHARLOTTE, NC 28213-3161
(919) 630-3602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5442
NC
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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