Individual
DESIRAE MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(919) 448-6018
Mailing address
261 WILDCAT BRANCH WAY APT 319, RALEIGH, NC 27603-7617
(272) 207-8571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17632
NC
225X00000X
Occupational Therapist
23227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17623
NC LICENSE
NC
Enumeration date
06/09/2022
Last updated
07/11/2025
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