Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2480 | NC |
NPI | 1134514359 |
---|---|
Provider Name | Mrs. Kirsten Atkinson |
First Address | Charlotte, NC 28207-1101 |
Second Address | Matthews, NC 28104-6897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 03/04/2015 |