Individual
KASSIDY NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(804) 929-0969
Mailing address
1239 POLK ST, CHARLOTTE, NC 28206-2937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14961
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
02/28/2024
Last updated
08/14/2024
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