Individual
TERESA HNATOWICZ MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 323-3308
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2237
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11932
NC
225X00000X
Occupational Therapist
5252
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942419478
—
NC
05
—
TH3306
—
SC
Enumeration date
05/22/2007
Last updated
05/10/2022
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