Cedillo, Amanda Grace

Cedillo, Amanda Grace is an individual health care provider with primary practice located at 4201 Lake Boone Trail Suite 4, Raleigh NC 27607-7511. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Cedillo, Amanda Grace can be contacted via phone (919) 781-4434.

Contact Information

Primary practice address
4201 Lake Boone Trail Suite 4 Raleigh NC 27607-7511
Phone: (919) 781-4434
Fax: (919) 781-5851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5919 North Carolina

Profile Details

NPI number 1316002991
LBN Legal business name Cedillo, Amanda Grace
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 6th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316002991 NPPES
Other 187639 MEDCOST
Other 7404775 MEDCOST
Other 1413T MEDCOST
Other 6400040 MEDCOST
MEDICAID 7301902 MEDCOST
MEDICAID 8300041K MEDCOST

Popular Providers