Individual
ALEXIS RAE FAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
970 BRANCHVIEW DR NE STE 160, CONCORD, NC 28025-2234
(704) 782-1322
Mailing address
5649 ZION CHURCH RD, CONCORD, NC 28025-7053
(209) 406-5423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15600
NC
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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