Individual
NANCY B OUTWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1106 REYNOLDS ST, SUITE 200, MONROE, NC 28112-4350
(704) 921-7755
(704) 921-7757
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4370
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1136
NC
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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