Healthcare Provider Details

I. General information

NPI: 1043570914
Provider Name (Legal Business Name): DEBORAH ANN KASTNER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 05/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 NUWAY CIR
LENOIR NC
28645-3656
US

IV. Provider business mailing address

4100 ROCKY RD
LENOIR NC
28645-6745
US

V. Phone/Fax

Practice location:
  • Phone: 828-758-7326
  • Fax:
Mailing address:
  • Phone: 609-330-7942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7873
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: