Nicole Lynne Heasley, OTR/L
Occupational Therapist in Stanley, NC. Individual provider (NPI-1).
NPI number1013763598
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1013763598
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lynne Heasley
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Jan 22, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 16746 | NC | Yes |
Practice location
364 S Hwy 16Ste 100
Stanley, NC 28164
Phone 704-746-9698
Mailing address
484 Williamson Rd Ste 102Mooresville, NC 28117-8191
Phone 704-746-9698
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