Cynthia C Secura, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Carthage, NC

NPI 1326202201 · NPPES record last updated Jul 10, 2008

Key facts

NPI
1326202201
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2609 (NC)
Practice address
316 Hulsey Rd
Carthage, NC 28327-7658
Phone
(910) 947-3549
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2609NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Pediatric Therapy Serivces Current Accepting new patients
Moore Pediatric Therapy Serivces Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2609 NC Yes

Addresses

Primary practice location

316 Hulsey Rd
Carthage, NC 28327-7658

Mailing address

316 Hulsey Rd
Carthage, NC 28327-7658
Phone (910) 947-3549

Other identifiers

IdentifierTypeStateIssuer
2609OtherNCCERTIFIED OCCUPATIONAL THERAPY ASSISTANT LICENSE NUMBER

Other providers in Carthage, NC

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

Sources for this page

Verify at the official NPI Registry.