Individual
CAITRIONA LIN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-2000
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15153
NC
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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