Christine B Brown, OTRL

Individual provider Active NPI Occupational Therapist · Charlotte, NC

NPI 1609905397 · NPPES record last updated Mar 31, 2008

Key facts

NPI
1609905397
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
4936 (NC)
Practice address
8218 Suttonview Dr
Charlotte, NC 28269-5189
Phone
(704) 649-4509
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Go Your Own Way, Inc. Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4936 NC Yes

Addresses

Primary practice location

8218 Suttonview Dr
Charlotte, NC 28269-5189

Mailing address

2800 Briarcliff PL
Charlotte, NC 28207-2658

Other identifiers

IdentifierTypeStateIssuer
7301666MedicaidNC

Other providers in Charlotte, NC

All providers in Charlotte, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.