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NPI Code Detail

MEDICARE: MS. MICHELLE CARROLL OTR/L

MEDICARE: MS. MICHELLE CARROLL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC009151PA

General Provider Information

NPI Number : 1376794990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE CARROLL OTR/L
Provider Business Mailing Address
First Line : 100 ABBEYVILLE RD
Second Line :
City : LANCASTER
State : PA
Zip : 17603-4604
Country : US
Telephone Number : 171-739-7426
Fax Number : 171-739-7142
Provider Business Practice Location Address
First Line : 100 ABBEYVILLE RD
Second Line :
City : LANCASTER
State : PA
Zip : 17603-4604
Country : US
Telephone Number : 171-739-7426
Fax Number : 171-739-7142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 10/01/2008

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