IndividualActive
Andrea Hathcock, COTA
NPI 1336731033 · Low Vision Occupational Therapy Assistant · Indian Trail, NC
Provider details
- NPI number
- 1336731033
- Entity type
- Individual
- Primary specialty
- Low Vision Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11134
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3315 Faith Church Rd
Indian Trail, NC 28079-9300
Phone: (704) 882-3420
Approximate (ZIP-level) locationGet directions
Mailing address
3315 Faith Church Rd
Indian Trail, NC 28079-9300
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.