Individual
MS. PENNY DAWN-HURST HOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5101 PROSPERITY CHURCH RD, CHARLOTTE, NC 28269-8732
(704) 510-0215
Mailing address
2015 APPLEGATE DR, CONCORD, NC 28027-9673
(704) 467-3442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2623
NC
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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