MEDICARE: JOY CADELINA OTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	9624	NC

General Provider Information

NPI Number	:	1346633500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY CADELINA OTD

Provider Business Mailing Address
First Line	:	174 BROOKWOOD RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-1613
Country	:	US
Telephone Number	:	650-380-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	174 BROOKWOOD RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-1613
Country	:	US
Telephone Number	:	650-380-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	09/10/2025

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