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1619675113
JUSTIN SENGKHAMPHONG
MATTHEWS, NC
NPI
1619675113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 15577)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
JUSTIN SENGKHAMPHONG OTR/L
600 FULLWOOD LN
MATTHEWS, NC 28105
Phone number: 704-841-4920
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Mailing Address
JUSTIN SENGKHAMPHONG OTR/L
15853 WHITE ST UNIT 205
CHARLOTTE, NC 28278-0222
Phone number:
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