Provider Demographics
NPI:1639623838
Name:APEX OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:APEX OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-446-4868
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3195
Mailing Address - Country:US
Mailing Address - Phone:919-446-4868
Mailing Address - Fax:
Practice Address - Street 1:825 PERRY RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7702
Practice Address - Country:US
Practice Address - Phone:919-446-4868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6214225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty