Provider Demographics
NPI:1134470693
Name:DISCHIAVI, ALICE ELIZABETH (OT)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:ELIZABETH
Last Name:DISCHIAVI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 FAIRGROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-8531
Mailing Address - Country:US
Mailing Address - Phone:828-468-3980
Mailing Address - Fax:828-464-2845
Practice Address - Street 1:1915 FAIRGROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-8531
Practice Address - Country:US
Practice Address - Phone:828-468-3980
Practice Address - Fax:828-464-2845
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2111225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist