Provider Demographics
NPI:1962537860
Name:TROCINSKI, KATHRYN ANN (MS, OTR L)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:TROCINSKI
Suffix:
Gender:F
Credentials:MS, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 NATIONAL DRIVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4386
Mailing Address - Country:US
Mailing Address - Phone:919-783-8846
Mailing Address - Fax:
Practice Address - Street 1:3716 NATIONAL DRIVE
Practice Address - Street 2:SUITE 124
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4386
Practice Address - Country:US
Practice Address - Phone:919-783-8846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5028225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist