Individual
KAILEY BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1915 RANDOLPH RD FL 2, CHARLOTTE, NC 28207-1101
(704) 323-3008
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(704) 323-2090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14020
NC
225X00000X
Occupational Therapist
OT15924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
Enumeration date
08/26/2013
Last updated
01/31/2025
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