Gathers, Keira Jean

Gathers, Keira Jean is an individual health care provider with primary practice located at 3007 Simmon Tree Rd , Charlotte NC 28270-0676. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Gathers, Keira Jean can be contacted via phone (704) 995-2900.

Contact Information

Primary practice address
3007 Simmon Tree Rd Charlotte NC 28270-0676
Phone: (704) 995-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 618 Hawaii
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 7155 North Carolina

Profile Details

NPI number 1669519823
LBN Legal business name Gathers, Keira Jean
Credentials M.O.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 31st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669519823 NPPES
North Carolina MEDICAID 7302220

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