Healthcare Provider Details

I. General information

NPI: 1033047048
Provider Name (Legal Business Name): ROXANNE LEIGH MARIA ANK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROXANNE LEIGH ANK OTR/L

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 TRENT RD
NEW BERN NC
28562-2224
US

IV. Provider business mailing address

4502 HAYWOOD FARMS RD
NEW BERN NC
28562-8326
US

V. Phone/Fax

Practice location:
  • Phone: 252-639-0293
  • Fax:
Mailing address:
  • Phone: 252-639-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number3021
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: