Laurellee F Adimey, OTRL

Individual provider Active NPI Occupational Therapist · Charlotte, NC

NPI 1780703231 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780703231
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5719 (NC)
Practice address
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone
(704) 355-8484
Fax
(704) 355-4231
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5719NCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5719 NC Yes

Addresses

Primary practice location

1100 Blythe Blvd
Charlotte, NC 28203-5814

Mailing address

1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-8484

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.