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1942723515
VICTORIA BUCK SOUTHERLAND
CHARLOTTE, NC
NPI
1942723515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 10586)
Enumeration Date
2017-07-25
Last Update Date
2023-07-10
Business Address
VICTORIA BUCK SOUTHERLAND OTR
1505 E BARDEN RD
CHARLOTTE, NC 28226-5831
Phone number: 443-564-7275
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Mailing Address
VICTORIA BUCK SOUTHERLAND OTR
1505 E BARDEN RD
CHARLOTTE, NC 28226-5831
Phone number: 704-708-8314
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