Organization
LIFEWORKS UNILIMITED PEDIATRIC THERAPY SERVICES, LLC
Active
Other names
Lifeworks Unlimited PTS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE ADELFA NUNEZ COTA/L (OWNER)
(786) 217-7544
Entity
Organization
Contact information
Practice address
1009 FLAMELEAF CT, LEWISVILLE, NC 27023-8611
(336) 946-6313
(336) 776-0099
Mailing address
1009 FLAMELEAF CT, LEWISVILLE, NC 27023-8611
(336) 946-6313
(336) 776-0099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
9318
NC
2251P0200X
Pediatric Physical Therapist
P15179
NC
225200000X
Physical Therapy Assistant
A5565
NC
225X00000X
Occupational Therapist
6431
NC
225XP0200X
Pediatric Occupational Therapist
Primary
6431
NC
261QM1300X
Multi-Specialty Clinic/Center
6431
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00541818
—
NC
Enumeration date
03/07/2016
Last updated
10/17/2016
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