MEDICARE: MRS. DEBORAH C CARTER O.T.R./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
1	225X00000X	Occupational Therapist	OT0071	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437163318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH C CARTER O.T.R./L

Provider Business Mailing Address
First Line	:	3581 PLEASANT HILL RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2935
Country	:	US
Telephone Number	:	407-933-0252
Fax Number	:	407-933-0252

Provider Business Practice Location Address
First Line	:	3581 PLEASANT HILL RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2935
Country	:	US
Telephone Number	:	407-933-0252
Fax Number	:	407-933-0252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/09/2007

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