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NPI Code Detail

MEDICARE: BECKY M CARTER O.T.R., MSRS

MEDICARE: BECKY M CARTER O.T.R., MSRS
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 Therapist101940TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T2920OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1588756167
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY M CARTER O.T.R., MSRS
Provider Business Mailing Address
First Line : 306 W 3RD ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-2429
Country : US
Telephone Number : 432-267-3806
Fax Number : 432-267-3809
Provider Business Practice Location Address
First Line : 306 W 3RD ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-2429
Country : US
Telephone Number : 432-267-3806
Fax Number : 432-267-3809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 09/30/2022

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