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Individual

KATLYN BROOKE HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1260 HIDDEN COVE LN, LENOIR, NC 28645-4742
(828) 394-5084
Mailing address
118 WELBORN ST, MILLERS CREEK, NC 28651-8451

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12294
NC
225XP0200X
Pediatric Occupational Therapist
12294
NC

Other

Enumeration date
10/02/2019
Last updated
04/14/2021
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