Carolyn Carter
Individual provider Active NPI Occupational Therapy Assistant · Festus, MO
NPI 1144602467 · NPPES record last updated Jun 23, 2015
Key facts
- NPI
- 1144602467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 213215 (TX)
- Practice address
- 101 Faulks LN
Festus, MO 63028-3547 - Phone
- (314) 435-0052
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213215 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213215 | TX | Yes |
Addresses
Primary practice location
101 Faulks LN
Festus, MO 63028-3547
Mailing address
101 Faulks LN
Festus, MO 63028-3547
Other providers in Festus, MO
- Care Bridg Home Care
- Jessica B Carlstrom
- Kasey L Carnes
- Ashley Carpenter
- Amanda Lynn Carroll
- Susan C. Cassimatis
- Whitney Cawvey
- Ccpartners LLC
- Kristy L Celeslie
- Amy Marie Cernik
All providers in Festus, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.