Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 14221 | NC |
NPI | 1003582057 |
---|---|
Provider Name | Leigh Anne Hornor |
First Address | Mooresville, NC 28117-8026 |
Second Address | Mooresville, NC 28117-8026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2021 |
Last Update Date | 19/08/2021 |