Individual
MRS. CAITLIN MOORE SUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS OTRL
Contact information
Practice address
10508 PARK RD, SUITE 130, CHARLOTTE, NC 28210-8405
(704) 541-9080
Mailing address
3105 WELL HOUSE CT, CHARLOTTE, NC 28210-7932
(704) 541-9080
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
11281
FL
225XP0200X
Pediatric Occupational Therapist
Primary
5695
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301803
—
NC
Enumeration date
03/15/2006
Last updated
07/08/2007
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