Organization
STIMULATE YOUR CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANA CHEVALIER LUKE-HENRY OTR/L (DIRECTOR)
(704) 975-2840
Entity
Organization
Contact information
Practice address
11721 OAK ST, CHARLOTTE, NC 28269-2318
(704) 975-2840
(704) 248-8370
Mailing address
11721 OAK ST, CHARLOTTE, NC 28269-2318
(704) 975-2840
(704) 248-8370
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7509
NC
251E00000X
Home Health Agency
—
—
Other
Enumeration date
07/09/2015
Last updated
10/01/2015
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