Provider Demographics
NPI:1629663216
Name:LANIER, COURTNEY (COTA/L)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:LANIER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:LANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 MOUNT LEBANON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-5120
Mailing Address - Country:US
Mailing Address - Phone:704-224-6026
Mailing Address - Fax:
Practice Address - Street 1:511 W BUTLER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4833
Practice Address - Country:US
Practice Address - Phone:864-757-9914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant