Individual
MICHAEL PUCCIARIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 ROCKDALE DR, WINSTON SALEM, NC 27104-3496
(336) 793-7379
Mailing address
1105 ROCKDALE DR, WINSTON SALEM, NC 27104-3496
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0134636
VT
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/10/2026
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