Individual
MICHELLE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 MONARDA WAY, WAXHAW, NC 28173-7072
(978) 420-8850
(704) 626-3409
Mailing address
2106 MONARDA WAY, WAXHAW, NC 28173-7072
(978) 420-8850
(704) 626-3409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13693
NC
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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