Maldara Angar, COTA

Individual provider Active NPI Occupational Therapy Assistant · Louisburg, NC

NPI 1124224316 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124224316
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3415 (NC)
Practice address
202 Smoketree Way
Louisburg, NC 27549-2165
Phone
(919) 496-6500
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3415NCMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3415 NC Yes

Addresses

Primary practice location

202 Smoketree Way
Louisburg, NC 27549-2165

Mailing address

3822 Seven Paths Road
Spring Hope, NC 27882-0000
Phone (252) 478-2878

Other providers in Louisburg, NC

All providers in Louisburg, NC · Occupational Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.