Mary Parker, OT
Occupational Therapist in Charlotte, NC. Individual provider (NPI-1).
NPI number1124580980
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1124580980
- Entity type
- Individual (NPI-1)
- Name
- Mary Parker
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 12363 | NC | Yes |
Practice location
1100 Blythe BlvdCharlotte, NC 28203-5814
Phone 704-355-7760
Mailing address
1100 Blythe BlvdCharlotte, NC 28203-5814
Phone 704-355-7760
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