Individual
MRS. LISA LOUISE GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
(704) 491-9006
Mailing address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
(704) 491-9006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9844
NC
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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