MADISEN BLAIRE WIRTEL

CONCORD, NC
NPI1053910463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  12646)
Enumeration Date2020-10-19
Last Update Date2020-10-19
Business Address
MADISEN BLAIRE WIRTEL cota/l
140 CABARRUS AVE W
CONCORD, NC 28025-5150
Phone number: 704-239-6321
Mailing Address
MADISEN BLAIRE WIRTEL cota/l
195 OBRIEN PL SW
CONCORD, NC 28025-5673
Phone number: 704-467-7892
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