Individual
EMMA REISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-8674
Mailing address
1015 W 6TH ST UNIT 205, CHARLOTTE, NC 28202-0090
(803) 207-4018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15129
NC
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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