| NPI | 1124764782 |
|---|---|
| Other Name | INNOVATIVE OT NC LLC |
| Other Name | INNOVATIVE OT NC, LLC |
| Entity Type | Organization |
| Authorized Contact | KAREN TRACY JOHNSON Owner 919-244-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-07-21 |