Provider Demographics
NPI:1932333515
Name:OUSSEINI, NATASHA LYN (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:LYN
Last Name:OUSSEINI
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:NATASHA
Other - Middle Name:LYN
Other - Last Name:OUSSEINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:11819 HAMPTON PLACE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-5232
Mailing Address - Country:US
Mailing Address - Phone:704-509-6690
Mailing Address - Fax:
Practice Address - Street 1:11819 HAMPTON PLACE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-5232
Practice Address - Country:US
Practice Address - Phone:704-222-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5679224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant