Provider Demographics
NPI:1801914072
Name:NAPOLITANO, TRACI J (PHD, ATC)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:J
Last Name:NAPOLITANO
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 A EAST WILSON STREET
Mailing Address - Street 2:WINGATE UNIVERISTY
Mailing Address - City:WINGATE
Mailing Address - State:NC
Mailing Address - Zip Code:28174
Mailing Address - Country:US
Mailing Address - Phone:704-233-8179
Mailing Address - Fax:
Practice Address - Street 1:211 A EAST WILSON STREET
Practice Address - Street 2:WINGATE UNIVERISTY
Practice Address - City:WINGATE
Practice Address - State:NC
Practice Address - Zip Code:28174
Practice Address - Country:US
Practice Address - Phone:704-233-8179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer