Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dylan Shane Vandiver

Individual provider Occupational Therapist · NPI 1710551213

Dylan Shane Vandiver is an Occupational Therapist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

4201 Lake Boone Trl Ste 4
Raleigh, NC 27607-7511
Phone: (919) 781-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 13962 (NC)

Record details

NPI number1710551213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

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