Healthcare Provider Details

I. General information

NPI: 1336078070
Provider Name (Legal Business Name): AURIEL NICOLE HARRISON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19530 MT ZION PKWY
CORNELIUS NC
28031-8398
US

IV. Provider business mailing address

8306 BEARLING WAY
CHARLOTTE NC
28216-7817
US

V. Phone/Fax

Practice location:
  • Phone: 704-997-2970
  • Fax:
Mailing address:
  • Phone: 919-946-2563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18462
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: