Organization Name: | OCCUPATIONAL THERAPY SOUTH |
NPI Number: | 1427174150 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAUREN JENNIFER MULLAN (OWNER, O.T. SOUTH) |
Mailing Address: | 3022 Chisholm Ct Waxhaw |
State: | NC US |
Postal Code: | 281737865 |
Phone Number: | 7048432020 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 10/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |