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1235265703
KEITH SELLICK
CHARLOTTE, NC
NPI
1235265703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 2706)
Enumeration Date
2007-02-26
Last Update Date
2007-07-09
Business Address
Mr. KEITH SELLICK OTR L
9815 SANDMAN LN
CHARLOTTE, NC 28216-1795
Phone number: 704-771-0051
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Mailing Address
Mr. KEITH SELLICK OTR L
PO BOX 691775
MINT HILL, NC 28227-7030
Phone number: 704-771-0051
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