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Individual

MRS. KELLY LYNN GIANOPOULOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
137 OVERHILL DR, SUITE 102, MOORESVILLE, NC 28117-8006
(704) 799-6824
Mailing address
612 FIELDSTONE RD, MOORESVILLE, NC 28115-2728

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2271
NC
225XP0200X
Pediatric Occupational Therapist
Primary
2271
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7310238
NC
Enumeration date
04/25/2006
Last updated
09/11/2025
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