Provider Demographics
NPI:1245900752
Name:TRAPANI, WILLIAM R (OTR/L)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:TRAPANI
Suffix:
Gender:M
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 1:540 WAUGH ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9034
Mailing Address - Country:US
Mailing Address - Phone:336-246-5581
Mailing Address - Fax:
Practice Address - Street 1:540 WAUGH ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9034
Practice Address - Country:US
Practice Address - Phone:336-246-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3975225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist