Jacqueline Allotey, OTR/L

Individual provider Active NPI Occupational Therapist · Wake Forest, NC

NPI 1649537382 · NPPES record last updated Jan 22, 2014

Key facts

NPI
1649537382
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
8247 (NC)
Practice address
1151 S. Main St. Apt. 303
Legacy Healthcare
Wake Forest, NC 27587
Phone
(919) 321-6171
NPI assigned
Apr 19, 2012
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
8247NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8247 NC Yes

Addresses

Primary practice location

1151 S. Main St. Apt. 303
Legacy Healthcare
Wake Forest, NC 27587

Mailing address

3001 Spring Forest Rd.
Legacy Healthcare
Raleigh, NC 27616
Phone (919) 321-6171

Other providers in Wake Forest, NC

All providers in Wake Forest, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.