Occupational Therapy South

NPI #1083898399 in Waxhaw, North Carolina

Provider Information

NPI Number: 1083898399
Entity Type: Organization
Organization Name: Occupational Therapy South
Primary Specialty: Developmental Therapist
Enumeration Date: Dec 21, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 3022 CHISHOLM CT
City: Waxhaw
State: North Carolina
ZIP Code: 28173-7865
Phone: (704) 843-2020

Authorized Official

Name: LAUREN JENNIFER MULLAN, M.A., OTR/L, ITFS-P
Title: OWNER
Phone: (704) 843-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X
Developmental Therapist	222Q00000X	Primary

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