Integration Station

NPI 1124341276 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1124341276
Enumeration Date 03/03/2010
Last Updated 03/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name NICOLE E NICOLE
Position DIRECTOR OF PRACTICE
Phone (704) 248-1146
Fax (877) 268-5344
Practice Location
8511 DAVIS LAKE PKWY
SUITE #C6-218
CHARLOTTE NC, 28269-0536, US
Phone (704) 248-1146
Fax (877) 268-5344
Business Location
8511 DAVIS LAKE PKWY
SUITE #C6-218
CHARLOTTE NC, 28269-0536, US
Phone (704) 248-1146
Fax (877) 268-5344
Toxanomy
Taxonomy Code 225XP0200X
License State North Carolina
License Number 5804
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According to our database, Integration Station NPI is 1124341276, taxonomy code is 225XP0200X and license number is 5804, license state is located at North Carolina. Integration Station physically located at 8511 Davis Lake Pkwy, Charlotte NC, 28269-0536. NPI Number 1033115704 has the healthcare provider type.

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1124341276 NPI number is provided on an as is basis without warranty of any kind. 1124341276 is maintained by the National Plan & Provider Enumeration System. The contents of Integration Station are for informational purposes only.