JENNIFER L FORTIER

CHARLOTTE, NC
NPI1700653516
Former NameJENNIFER L MASI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  9653)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
JENNIFER L FORTIER COTA
11945 PROVIDENCE RD
CHARLOTTE, NC 28277-4454
Phone number: 980-245-3512
Mailing Address
JENNIFER L FORTIER COTA
7811 HOLLOW OAKS LN
WAXHAW, NC 28173-8386
Phone number: 518-577-5054
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