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Individual

ANDREA PRALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
520 VALLEY ST, STATESVILLE, NC 28677-7935
(704) 873-0517
Mailing address
520 VALLEY ST, STATESVILLE, NC 28677-7935

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6708
NC

Other

Enumeration date
04/13/2017
Last updated
04/13/2017
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