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CHARLOTTE, NC
NPI1700658754
Entity TypeOrganization
Authorized ContactDARCI PERNOUD
Owner
980-277-7105
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
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4801 CHASTAIN AVE STE 194
CHARLOTTE, NC 28217-2136
Phone number: 980-277-7105
Mailing Address
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4801 CHASTAIN AVE STE 194
CHARLOTTE, NC 28217-2136
Phone number: