Individual
LISA NAGY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
969 COX RD, GASTONIA, NC 28054-3455
(704) 866-8596
Mailing address
969 COX RD, GASTONIA, NC 28054-3455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11763
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11763
COTA
NC
Enumeration date
09/03/2019
Last updated
09/03/2019
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