NPI 1053923896
Maggie Marie Dicesare, COTAL
Practice location
- Address
- 4801 Edwards Mill Rd, Raleigh, NC 27612-4417
- Phone
- (919) 787-0777
- Mailing address
- 6193 Nc Highway 102 W, Chocowinity, NC 27817-9108
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053923896
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Aug 2020
- Record last updated
- 22 Aug 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.