Healthcare Provider Details

I. General information

NPI: 1184587008
Provider Name (Legal Business Name): DONNA DARRAGH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4553 MALVERN RD
DURHAM NC
27707-5643
US

IV. Provider business mailing address

4553 MALVERN RD
DURHAM NC
27707-5643
US

V. Phone/Fax

Practice location:
  • Phone: 919-812-2396
  • Fax:
Mailing address:
  • Phone: 919-812-2396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4230
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: