Individual
HOLLY MICHELLE GANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL, CHARLOTTE, NC 28277-4652
(980) 223-4789
Mailing address
550 DEERFIELD RD, MOUNT GILEAD, NC 27306-8819
(540) 422-5721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18272
NC
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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