Provider Demographics
NPI:1336478270
Name:LAMBETH, DONNA CATHERINE (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DONNA
Middle Name:CATHERINE
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KILDAIRE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5500
Mailing Address - Country:US
Mailing Address - Phone:919-481-9199
Mailing Address - Fax:
Practice Address - Street 1:300 KILDAIRE WOODS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5500
Practice Address - Country:US
Practice Address - Phone:919-481-9199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2512225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist