Individual provider · Type 1 NPI

Carly Nassereh Ettefagh, MSOT, OTR/L

Occupational Therapist · Raleigh, NC

NPI number 1013411966 Active

Practice location

3803B Computer Dr Ste 200
Raleigh, NC 27609-6503

Call (401) 835-3265 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X13261 (NC)
Occupational Therapist 225X00000X0119006980 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013411966

Carly Nassereh Ettefagh, MSOT, OTR/L's National Provider Identifier is 1013411966, issued on Mar 23, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 9, 2024.