Basic Information
| Provider Information | |||||||||
| NPI: | 1447418025 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IMPORTANTE | ||||||||
| FirstName: | LEONILA | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9200 GLENWATER DR | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282628557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045490807 | ||||||||
| FaxNumber: | 7045035481 | ||||||||
| Practice Location | |||||||||
| Address1: | 9200 GLENWATER DR | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282628557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045490807 | ||||||||
| FaxNumber: | 7045035481 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2008 | ||||||||
| LastUpdateDate: | 05/30/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5319 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.