Healthcare Provider Details

I. General information

NPI: 1063326882
Provider Name (Legal Business Name): CHENSHI LUO OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA LUO

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 WESTON PKWY
CARY NC
27513-2118
US

IV. Provider business mailing address

2011 HONEYCUTT DR UNIT 2418
DURHAM NC
27707-6904
US

V. Phone/Fax

Practice location:
  • Phone: 978-235-6260
  • Fax:
Mailing address:
  • Phone: 978-235-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18765
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: