Healthcare Provider Details

I. General information

NPI: 1427722859
Provider Name (Legal Business Name): MOLLY GUPTA OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7980 CHAPEL HILL RD STE 115
CARY NC
27513-4649
US

IV. Provider business mailing address

7980 CHAPEL HILL RD STE 115
CARY NC
27513-4649
US

V. Phone/Fax

Practice location:
  • Phone: 919-535-3930
  • Fax:
Mailing address:
  • Phone: 919-535-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number14277
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: