| Lymphatic Health Center, Pllc | |
|
517 Alcove Rd, Suite 101, Mooresville, NC 28117-8573 | |
| (704) 664-7303 | |
| (855) 235-4944 |
| Full Name | Lymphatic Health Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 517 Alcove Rd, Mooresville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053783993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5670 (North Carolina) | Primary |
| Provider Name | Stephanie M King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457484040 PECOS PAC ID: 5799087185 Enrollment ID: I20151231000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Lymphatic Health Center, Pllc 517 Alcove Rd, Suite 101, Mooresville, NC 28117-8573 Ph: (704) 664-7303 | Lymphatic Health Center, Pllc 517 Alcove Rd, Suite 101, Mooresville, NC 28117-8573 Ph: (704) 664-7303 |
Leigh Anne Hornor, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
Mrs. Ashley Christina Grant, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
Bethany Makayla Lady Wines, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
Mrs. Courtney King Fesperman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Court, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
Mary E Rutledge, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Glenwood Dr, Mooresville, NC 28115 Phone: 704-664-7494 | |
Angela Mary Tidwell, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 136 Corporate Park Dr, Mooresville, NC 28117 Phone: 704-360-2796 |