Healthcare Provider Details

I. General information

NPI: 1588104723
Provider Name (Legal Business Name): DEVAN TRUEBA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 S MERRITT MILL RD
CHAPEL HILL NC
27516-2878
US

IV. Provider business mailing address

750 S MERRITT MILL RD
CHAPEL HILL NC
27516-2878
US

V. Phone/Fax

Practice location:
  • Phone: 919-967-8211
  • Fax:
Mailing address:
  • Phone: 919-967-8211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number14708
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: