Organization
OCCUPATIONAL THERAPY SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN JENNIFER MULLAN M.A., OTR/L, ITFS-P (OWNER)
(704) 843-2020
Entity
Organization
Contact information
Practice address
3022 CHISHOLM CT, WAXHAW, NC 28173-7865
(704) 843-2020
Mailing address
3022 CHISHOLM CT, WAXHAW, NC 28173-7865
(704) 843-2020
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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