Provider Demographics
NPI:1316168305
Name:KOLBFLEISCH, DANA E (OTD, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:E
Last Name:KOLBFLEISCH
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:SPERONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-2799
Mailing Address - Country:US
Mailing Address - Phone:919-556-1700
Mailing Address - Fax:
Practice Address - Street 1:900 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2799
Practice Address - Country:US
Practice Address - Phone:919-556-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7799225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist