Whalio Doctors

NPI 1053923896

Maggie Marie Dicesare, COTAL

Practitioner Occupational Therapy Assistant Raleigh, NC

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 12401 (NC)

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.