Individual
KATHERINE KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11230 BALLANTYNE TRACE CT, CHARLOTTE, NC 28277-2791
(704) 544-7220
Mailing address
809 DEERCROSS LN, WAXHAW, NC 28173-6603
(704) 618-9988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7988
NC
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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