Individual
MR. JONATHAN REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7555 TUCKASEEGEE RD, KANNAPOLIS, NC 28081
(704) 425-3159
Mailing address
7555 TUCKASEEGEE RD, KANNAPOLIS, NC 28081-9536
(704) 425-3159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7308
NC
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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