Healthcare Provider Details

I. General information

NPI: 1124664438
Provider Name (Legal Business Name): ALLURING OCCUPATIONAL THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020-I PROSPERITY CHURCH RD STE 523
CHARLOTTE NC
28269
US

IV. Provider business mailing address

3020-I PROSPERITY CHURCH RD STE 523
CHARLOTTE NC
28269
US

V. Phone/Fax

Practice location:
  • Phone: 704-951-7157
  • Fax:
Mailing address:
  • Phone: 704-951-7157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224ZE0001X
TaxonomyEnvironmental Modification Occupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code224ZF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code224ZL0004X
TaxonomyLow Vision Occupational Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code224ZR0403X
TaxonomyDriving and Community Mobility Occupational Therapy Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: APRYL DAVIS
Title or Position: OWNER
Credential: BS, OTA/L
Phone: 704-951-7157