Olivia Lorenz, OTA
Individual provider Active NPI Occupational Therapy Assistant · Denton, NC
NPI 1992411136 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1992411136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 15302 (NC)
- Practice address
- 106 Mt Vista Health Park Rd
Denton, NC 27239 - Phone
- (336) 859-2181
- NPI assigned
- Jan 30, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15302 | NC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 15302 | NC | Yes |
Addresses
Primary practice location
106 Mt Vista Health Park Rd
Denton, NC 27239
Mailing address
144 2ND Ave Unit B
China Grove, NC 28023-2350
Phone (704) 956-8697
Other providers in Denton, NC
- Cheri Hurst
- Christie Renee Jarrell-Smith
- Averille Kinley
- Legacy Healthcare
- Emily Logan
- Felizardo Hocbo Mangundayao
- Wendy Sutts McLeod
- Misty Nichols Mize
- Mountain Vista Health Park, Inc.
- Mountain Vista Health Park, Inc.
All providers in Denton, NC · Occupational Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.