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NPI Code Detail

MEDICARE: MISS CARLY ELIZABETH REIMER OTR/L

MEDICARE:  MISS CARLY ELIZABETH REIMER  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 Therapist
2225X00000XOccupational Therapist5201010370MI

General Provider Information

NPI Number : 1427520923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CARLY ELIZABETH REIMER OTR/L
Provider Business Mailing Address
First Line : 1864 R W BERENDS DR SW APT 8
Second Line :
City : WYOMING
State : MI
Zip : 49519-4903
Country : US
Telephone Number : 248-930-6562
Fax Number :
Provider Business Practice Location Address
First Line : 11007 RADCLIFF DR
Second Line :
City : ALLENDALE
State : MI
Zip : 49401-9521
Country : US
Telephone Number : 616-895-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2018
Last Update Date : 09/18/2023

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Directions to “ MISS CARLY ELIZABETH REIMER OTR/L” Practice Location

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