Provider Demographics
NPI:1104930452
Name:WHILDEN, CINDY SZYMANSKI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:SZYMANSKI
Last Name:WHILDEN
Suffix:
Gender:F
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 1:405 DOWNING GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5779
Mailing Address - Country:US
Mailing Address - Phone:919-463-7601
Mailing Address - Fax:
Practice Address - Street 1:2315 MYRON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-3344
Practice Address - Country:US
Practice Address - Phone:919-783-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3638225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301430Medicaid
NC147GFOtherBCBS OF NC
NC147GFOtherBCBS OF NC