MEDICARE: REBECCA CASE ESPOSITO OTR/L

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	225X00000X	Occupational Therapist	10869	NC

General Provider Information

NPI Number	:	1922548205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA CASE ESPOSITO OTR/L

Provider Business Mailing Address
First Line	:	809 CAROLYN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-8111
Country	:	US
Telephone Number	:	706-255-8945
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 WAXHAW PROFESSIONAL PARK DR STE A
Second Line	:
City	:	WAXHAW
State	:	NC
Zip	:	28173-5018
Country	:	US
Telephone Number	:	704-627-4027
Fax Number	:

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

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	12/01/2025

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