Individual
MISS ANDREA GAYLE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-1426
(980) 343-1437
Mailing address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-1426
(980) 343-1437
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5686
NC
Other
Enumeration date
08/12/2013
Last updated
04/20/2026
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