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Individual

JENNIFER L FORTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
11945 PROVIDENCE RD, CHARLOTTE, NC 28277-4454
(980) 245-3512
Mailing address
7811 HOLLOW OAKS LN, WAXHAW, NC 28173-8386
(518) 577-5054

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9653
NC

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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