Individual
RYAN CHANDLER UPRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
Mailing address
PO BOX 1243, KANNAPOLIS, NC 28082-1243
(704) 796-0155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11884
NC
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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