Individual provider · Type 1 NPI

Elisa Dali Fuentes, OTR/L

Occupational Therapist · Charleston, SC

NPI number 1871273979 Active

Practice location

1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248

Call (843) 277-2411 Map

Fax (855) 504-4089

Mailing address

4033 Hartland St
Charleston, SC 29414-6095

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7679 (SC)

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 1871273979

Elisa Dali Fuentes, OTR/L's National Provider Identifier is 1871273979, issued on Jul 24, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Charleston, SC. The record was last updated on Sep 12, 2025.