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Contact Information

INTEGRATIVE WELLNESS AND THERAPEUTICS, PLLC
19901 W CATAWBA AVE STE 104
CORNELIUS, NC28031-4040
 Phone: 704-610-8250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Occupational Therapy Assistant

224Z00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for INTEGRATIVE WELLNESS AND THERAPEUTICS PLLC · (Female)

NPI Number 1750042974
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2022
Last updated 01/10/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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