Individual
LOREN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 237-4105
(704) 237-4107
Mailing address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 237-4105
(704) 237-4107
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13968
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13968
NCBOT
NC
Enumeration date
03/22/2021
Last updated
03/26/2021
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