MARISKA CHARLENE TRUESDALE P.T. CFM NPI 1669686077

NPI Information

NPI: 1669686077
Provider Name: MARISKA CHARLENE TRUESDALE, P.T., CFM
Classification: Mastectomy Fitter - 224900000X
Entity Type: Individual
Address:
3909 OLEANDER DR
SUITE D
WILMINGTON, NC
ZIP 28403
Phone: (910) 619-4803
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Mariska Charlene Truesdale, P.T., CFM is a mastectomy fitter in Wilmington, NC. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. Mariska Charlene Truesdale, P.T., CFM NPI is 1669686077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3909 OLEANDER DR
SUITE D
WILMINGTON, NC
ZIP 28403-730
Phone: (910) 619-4803
Fax: (910) 395-5773

The enumeration date for this NPI number is 5/9/2007 and was last updated on 9/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	225100000X	Physical Therapist	4979	NORTH CAROLINA	No
2	225000000X	Orthotic Fitter			No
3	224900000X	Mastectomy Fitter			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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