Provider Demographics
NPI:1457480873
Name:FRESOLI, CARI MARIE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:CARI
Middle Name:MARIE
Last Name:FRESOLI
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5788 GETTYSBURG DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8854
Mailing Address - Country:US
Mailing Address - Phone:704-258-3171
Mailing Address - Fax:704-896-7975
Practice Address - Street 1:9606 BAILEY RD
Practice Address - Street 2:SUITE 250
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6109
Practice Address - Country:US
Practice Address - Phone:704-896-8688
Practice Address - Fax:704-896-7975
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1240225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301358Medicaid
NC1248HOtherBCBS PROVIDER NUMBER
NC7142406OtherAETNA PROVIDER NUMBER