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:
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 BELLINGHAM DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6504
Mailing Address - Country:US
Mailing Address - Phone:704-258-3171
Mailing Address - Fax:704-896-7975
Practice Address - Street 1:18047 W CATAWBA AVE STE 203
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5688
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:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4140225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1248HOtherBCBS PROVIDER NUMBER
NC7142406OtherAETNA PROVIDER NUMBER
NC7142406OtherAETNA PROVIDER NUMBER