Provider Demographics
NPI:1437314077
Name:HEALTHY LYMPHATICS OF NC PC
Entity Type:Organization
Organization Name:HEALTHY LYMPHATICS OF NC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ALBU
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L, CLT-LANA
Authorized Official - Phone:828-355-9584
Mailing Address - Street 1:450 NEW MARKET BLVD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607
Mailing Address - Country:US
Mailing Address - Phone:828-355-9584
Mailing Address - Fax:828-355-9689
Practice Address - Street 1:450 NEW MARKET BLVD
Practice Address - Street 2:UNIT #3
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5494
Practice Address - Country:US
Practice Address - Phone:828-355-9584
Practice Address - Fax:828-355-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCOT6615225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty