Provider Demographics
NPI:1083124028
Name:LOPIENSKI, KATHRYN NEEDHAM (OT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:NEEDHAM
Last Name:LOPIENSKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:NEEDHAM
Other - Last Name:LOPIENSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:504 LINDSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6928
Mailing Address - Country:US
Mailing Address - Phone:336-963-5153
Mailing Address - Fax:
Practice Address - Street 1:5746 ROLLING MEADOWS RD
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-7896
Practice Address - Country:US
Practice Address - Phone:336-963-2365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7794225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist