Individual
SUSAN KLEMM SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3535 RANDOLPH RD, SUITE 212, CHARLOTTE, NC 28211-1032
(704) 336-4132
(704) 423-5775
Mailing address
525 QUEENS RD, CHARLOTTE, NC 28207-1423
(704) 366-4132
(704) 423-5775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2924
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731061H
—
NC
Enumeration date
08/08/2006
Last updated
07/08/2007
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