Carrie Allen, OTR/L

Individual provider Active NPI Occupational Therapist · Wimauma, FL

NPI 1235263153 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1235263153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT19946 (FL)
Practice address
3014 Lemon Terrace Dr
Wimauma, FL 33598-4508
Phone
(570) 594-3901
NPI assigned
Mar 15, 2007
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)
Yes

State licenses

LicenseStateTypeSpecialty
OT19946FLMDOccupational Therapist
OC004450LPAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC004450L PA
Occupational Therapist 225X00000X OT19946 FL Yes

Addresses

Primary practice location

3014 Lemon Terrace Dr
Wimauma, FL 33598-4508

Mailing address

3014 Lemon Terrace Dr
Wimauma, FL 33598-4508
Phone (570) 594-3901

Other providers in Wimauma, FL

All providers in Wimauma, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.