Individual
SHARYN RANDI MARCISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
400 US 70 HIGHWAY E, GARNER, NC 27529-4049
(919) 882-7833
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014998-1
NY
225X00000X
Occupational Therapist
Primary
12493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083862650
—
NC
Enumeration date
09/08/2008
Last updated
11/21/2022
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