Individual
MICHELLE LENER TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, LMBT
Contact information
Practice address
9404 BRIGHTHAVEN LN, CHARLOTTE, NC 28214-1011
(704) 796-0082
Mailing address
9404 BRIGHTHAVEN LN, CHARLOTTE, NC 28214-1011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
4905
NC
225X00000X
Occupational Therapist
Primary
4810
NC
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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