Healthcare Provider Details

I. General information

NPI: 1972779866
Provider Name (Legal Business Name): TERESA LYNN PILKINGTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N MADISON AVE
GOLDSBORO NC
27530-3143
US

IV. Provider business mailing address

PO BOX 362
PIKEVILLE NC
27863-0362
US

V. Phone/Fax

Practice location:
  • Phone: 919-739-0047
  • Fax: 919-739-9041
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5105
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: