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NPI Code Detail

MEDICARE: NICOLE LYNNE CARARA OTR/L

MEDICARE:   NICOLE LYNNE CARARA  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
1106S00000XBehavior TechnicianGA
2225X00000XOccupational TherapistOT009773GA

General Provider Information

NPI Number : 1720885791
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LYNNE CARARA OTR/L
Provider Business Mailing Address
First Line : 1690 ROSE MOSS CT SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-3969
Country : US
Telephone Number : 301-275-4057
Fax Number : 423-702-4493
Provider Business Practice Location Address
First Line : 6896 RIVER RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-2337
Country : US
Telephone Number : 301-275-4057
Fax Number : 423-702-4493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/07/2026

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Directions to “ NICOLE LYNNE CARARA OTR/L” Practice Location

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