Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly Nassereh Ettefagh, MSOT, OTR/L

Individual provider Occupational Therapist · NPI 1013411966

Carly Nassereh Ettefagh, MSOT, OTR/L is an Occupational Therapist in Raleigh, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2018.

Licensed in
NC, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3803B Computer Dr Ste 200
Raleigh, NC 27609-6503
Phone: (401) 835-3265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 13261 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 0119006980 (VA)

Record details

NPI number1013411966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTR/L
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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