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Individual

KELLY LINGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-3558
Mailing address
4314 QUAIL VIEW RD, CHARLOTTE, NC 28226-7960
(270) 844-9145

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12204
NC

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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