Individual
KATHRYN ELLEN PAGE JEYATHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 E HUDSON BLVD, GASTONIA, NC 28054-6102
(704) 865-5556
Mailing address
3424 MADRIGAL LN, CHARLOTTE, NC 28214-2384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11143
NC
225X00000X
Occupational Therapist
19418
CA
Other
Enumeration date
07/27/2017
Last updated
12/31/2025
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