MICHAEL SHANE WEATHERMAN

CHARLOTTE, NC
NPI1710280086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  2880)
Enumeration Date2010-12-08
Last Update Date2010-12-08
Business Address
-- MICHAEL SHANE WEATHERMAN COTA/L
4124 PROVIDENCE RD APT B
CHARLOTTE, NC 28211-4479
Phone number: 828-707-7627
Mailing Address
-- MICHAEL SHANE WEATHERMAN COTA/L
4124 PROVIDENCE RD APT B
CHARLOTTE, NC 28211-4479
Phone number: 828-707-7627
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