Provider Demographics
NPI:1407232143
Name:ONE SITE THERAPY, PLLC
Entity Type:Organization
Organization Name:ONE SITE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L, CLT
Authorized Official - Phone:800-557-8032
Mailing Address - Street 1:10917 BLACK DOG LN STE 104
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-1486
Mailing Address - Country:US
Mailing Address - Phone:800-557-8032
Mailing Address - Fax:800-557-8032
Practice Address - Street 1:10917 BLACK DOG LN STE 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-1461
Practice Address - Country:US
Practice Address - Phone:704-231-9331
Practice Address - Fax:704-288-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy