Individual
NICOLE LYNNE HEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
364 S HWY 16, STE 100, STANLEY, NC 28164
(704) 746-9698
Mailing address
484 WILLIAMSON RD STE 102, MOORESVILLE, NC 28117-8191
(704) 746-9698
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16746
NC
Other
Enumeration date
04/25/2024
Last updated
01/23/2025
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