NPI 1053910463

Madisen Blaire Wirtel, COTAL

Practitioner Occupational Therapy Assistant Concord, NC

Practice location

Address: 140 Cabarrus Ave W, Concord, NC 28025-5150
Phone: (704) 239-6321
Mailing address: 195 Obrien Pl SW, Concord, NC 28025-5673

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 12646 (NC)

Other Occupational Therapy Assistant providers in North Carolina →

Registry record

NPI: 1053910463
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2020
Record last updated: 19 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.