Individual
KORIE KISAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1698 HIGHWAY 160 W STE 240, FORT MILL, SC 29708-8035
(704) 654-8599
(980) 938-6088
Mailing address
1698 HIGHWAY 160 W STE 240, FORT MILL, SC 29708-8035
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17342
NC
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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