Provider Demographics
NPI:1376662585
Name:ROHLIK, DAWN MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:ROHLIK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 CREEDMOOR RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1695
Mailing Address - Country:US
Mailing Address - Phone:919-844-1100
Mailing Address - Fax:919-844-1102
Practice Address - Street 1:7209 CREEDMOOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1625
Practice Address - Country:US
Practice Address - Phone:919-844-1100
Practice Address - Fax:919-844-1102
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC945225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC737489BMedicaid
NC7489BOtherBCBS