Healthcare Provider Details

I. General information

NPI: 1508793738
Provider Name (Legal Business Name): BRIANNA NICOLE CHRISTIANO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 NC-16 BUS 100 & 200
STANLEY NC
28164
US

IV. Provider business mailing address

364 NC-16 BUS 100 & 200
STANLEY NC
28164
US

V. Phone/Fax

Practice location:
  • Phone: 704-746-9698
  • Fax:
Mailing address:
  • Phone: 704-746-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18415
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: