Lifeworks Unilimited Pediatric Therapy Services, LLC
Occupational Therapist, Pediatrics in Lewisville, NC. Organization (NPI-2).
NPI number1972964708
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1972964708
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeworks Unilimited Pediatric Therapy Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 6431 | NC | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | 6431 | NC | |
| 225X00000X | Occupational Therapist | 6431 | NC | |
| 224Z00000X | Occupational Therapy Assistant | 9318 | NC | |
| 2251P0200X | Physical Therapist, Pediatrics | P15179 | NC | |
| 225200000X | Physical Therapy Assistant | A5565 | NC |
Other names
- Lifeworks Unlimited Pts, LLC (Other Name)
Practice location
1009 Flameleaf CtLewisville, NC 27023-8611
Phone 336-946-6313 · Fax 336-776-0099
Mailing address
1009 Flameleaf CtLewisville, NC 27023-8611
Phone 336-946-6313 · Fax 336-776-0099
Authorized official
Marie Adelfa Nunez
Owner
7862177544
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