Provider Demographics
NPI:1508227885
Name:PARTLOW, GIANA AMBRIA
Entity Type:Individual
Prefix:
First Name:GIANA
Middle Name:AMBRIA
Last Name:PARTLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SOUTHGATE CORPORATE PARK SW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1518
Mailing Address - Country:US
Mailing Address - Phone:803-261-9477
Mailing Address - Fax:
Practice Address - Street 1:2117 21ST ST SE
Practice Address - Street 2:APT 12
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-3499
Practice Address - Country:US
Practice Address - Phone:803-261-9477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist