Provider Demographics
NPI:1053890152
Name:DORSETT, DEBORAH (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DORSETT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-5525
Mailing Address - Country:US
Mailing Address - Phone:336-843-1420
Mailing Address - Fax:336-843-1840
Practice Address - Street 1:614 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-5525
Practice Address - Country:US
Practice Address - Phone:336-843-1420
Practice Address - Fax:336-843-1840
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9281224Z00000X
NC13573225XF0002X, 225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics