Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 7365 | NC |
NPI | 1013251313 |
---|---|
Provider Name | Mrs. Erika Suzanne Tagliaferro |
First Address | Wilmington, NC 28412-7513 |
Second Address | Wilmington, NC 28412-2296 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 27/11/2012 |