Individual
MRS. CAROLINE MULLIS LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CLT
Contact information
Practice address
3700 TAYLOR GLEN LN NW, CONCORD, NC 28027-3400
(704) 721-0478
(704) 721-0479
Mailing address
3700 TAYLOR GLEN LN NW, CONCORD, NC 28027-3400
(704) 721-0478
(704) 721-0479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6570
NC
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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