Organization
LAKE NORMAN CHILDREN'S THERAPY I, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANE HAMILTON OTR/L (CORPORATE OFFICER)
(704) 896-8688
Entity
Organization
Contact information
Practice address
18047 W CATAWBA AVE STE 203, CORNELIUS, NC 28031-5688
(704) 896-8688
(704) 896-7975
Mailing address
18047 W CATAWBA AVE STE 203, CORNELIUS, NC 28031-5688
(704) 896-8688
(704) 896-7975
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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