Basic Information
| Provider Information | |||||||||
| NPI: | 1699019851 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAPINPIN | ||||||||
| FirstName: | CONNIE | ||||||||
| MiddleName: | SOMIDO | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2675 COURT DR | ||||||||
| Address2: | |||||||||
| City: | GASTONIA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280541478 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048247800 | ||||||||
| FaxNumber: | 7048243999 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 E COUNCIL ST | ||||||||
| Address2: | SUITE C | ||||||||
| City: | SALISBURY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281445080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046363334 | ||||||||
| FaxNumber: | 7046390070 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2012 | ||||||||
| LastUpdateDate: | 11/11/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 6314 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.