Provider Demographics
NPI:1255194148
Name:AUBIN, DANIELLE FAIRCLOTH (OTR/L)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:FAIRCLOTH
Last Name:AUBIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:NICOLE
Other - Last Name:FAIRCLOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1738 8TH STREET DR NE APT 301
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2845
Mailing Address - Country:US
Mailing Address - Phone:910-476-4355
Mailing Address - Fax:
Practice Address - Street 1:401 N MORGAN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4434
Practice Address - Country:US
Practice Address - Phone:704-482-7326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist