Individual
JENNA LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
1229 TOTEROS DR, WAXHAW, NC 28173-6950
(704) 649-4509
Mailing address
11611 RAGAN ELIZABETH CT, CHARLOTTE, NC 28278-4001
(908) 461-3283
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7533
NC
Other
Enumeration date
06/02/2010
Last updated
04/16/2014
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