Individual
CARLY KERKHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S FUQUAY AVE, FUQUAY VARINA, NC 27526-2210
(919) 557-8305
Mailing address
104 ARCHER WAY, BUNNLEVEL, NC 28323-9236
(909) 647-7320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8913
NC
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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