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Kathleen Lloyd Ellison

Occupational Therapist in Charlotte, NC. Individual provider (NPI-1).

NPI number1831925593
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1831925593
Entity type
Individual (NPI-1)
Name
Kathleen Lloyd Ellison
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2024
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist16759NCYes

Practice location

1100 Blythe Blvd
Charlotte, NC 28203-5814

Phone 336-509-2992

Mailing address

1059 Park West Dr
Charlotte, NC 28209-1398

Phone 336-509-2992

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