Contact

Parent/Guardian First name*

Parent/Guardian Last name*

Email*

Phone*

Type of Service:*

Occupational Therapy

Physical Therapy

Both

Area:*

South Charlotte

Plaza Midwood

Huntersville

Cornelius

Davidson

Other

Location of Services:*

Home

Daycare/Preschool

Not sure

Patient Age*

Please choose insurance(s)/self-pay:*

BCBS

Aetna

Cigna

Medcost

Medicaid

Self-Pay

Reason for seeking therapy:*

Thank you for reaching out!

We will follow up with you within 48 business hours.

Services Locations:

South Charlotte, NC

Huntersville, NC

Lake Norman, NC

Phone: 704-817-2159

Fax: 252-201-8341

Hours:

Monday 8am - 5pm

Tuesday 8am - 5pm

Wednesday 8am - 5pm

Thursday 8am - 5pm

Friday 8am - 5pm

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