Individual
KYLE LYNN KOTOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13825 HUNTON LN # 6190, HUNTERSVILLE, NC 28078-6190
(704) 897-2700
Mailing address
1721 E 7TH ST APT 3, CHARLOTTE, NC 28204-2462
(704) 928-6670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13432
NC
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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