Individual
VICTORIA BUCK SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1505 E BARDEN RD, CHARLOTTE, NC 28226-5831
(443) 564-7275
(704) 708-8315
Mailing address
1505 E BARDEN RD, CHARLOTTE, NC 28226-5831
(704) 708-8314
(704) 708-8315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10586
NC
Other
Enumeration date
07/25/2017
Last updated
07/10/2023
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