Denise K Donica, OT

Individual provider Active NPI Occupational Therapist · Winterville, NC

NPI 1457409252 · NPPES record last updated May 27, 2014

Key facts

NPI
1457409252
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6894 (NC)
Practice address
1100 Dunbrook Dr
Winterville, NC 28590-5820
Phone
(252) 756-6646
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

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
31003248AINMDOccupational Therapist
6894NCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003248A IN
Occupational Therapist 225X00000X 6894 NC Yes

Addresses

Primary practice location

1100 Dunbrook Dr
Winterville, NC 28590-5820

Mailing address

1100 Dunbrook Dr
Winterville, NC 28590-5820
Phone (252) 756-6646

Other providers in Winterville, NC

All providers in Winterville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.