Individual
MATTHEW KUPSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4012 HICKORY BLVD, GRANITE FALLS, NC 28630-8372
(828) 212-0256
Mailing address
843 N CENTER ST, HICKORY, NC 28601-3751
(410) 693-8353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12147
NC
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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