MEDICARE: CORALEA CARROLL PITKIN MSOT, OTRL

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	5201011235	MI

General Provider Information

NPI Number	:	1750055646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORALEA CARROLL PITKIN MSOT, OTRL

Provider Business Mailing Address
First Line	:	223 PRIMROSE LN
Second Line	:
City	:	FLUSHING
State	:	MI
Zip	:	48433-2699
Country	:	US
Telephone Number	:	810-265-3953
Fax Number	:

Provider Business Practice Location Address
First Line	:	16260 PARK LAKE RD
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-9480
Country	:	US
Telephone Number	:	517-339-2322
Fax Number	:

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

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	12/21/2022

Similar Medicare Providers

1407397482 — OLIVIA MYERS OTRL
Practice Location Address:

16260 PARK LAKE RD
EAST LANSING, MI
48823-9480

Practice Phone: 517-339-2322
Practice Fax:

1184352643 — JILL BANGS
Practice Location Address:

16260 PARK LAKE RD
EAST LANSING, MI
48823-9480

Practice Phone: 517-339-2322
Practice Fax:

1952255549 — C.SAMPSON ESSENTIAL HEALTH SERVICES
Practice Location Address:

2233 E US 23 UNIT B
EAST TAWAS, MI
48730-9480

Practice Phone: 989-415-9363
Practice Fax:

1538976287 — KARI DECKER
Practice Location Address:

1750 E GRAND RIVER AVE STE 103
EAST LANSING, MI
48823-4958

Practice Phone: 616-745-4045
Practice Fax:

1144154923 — STARLIGHT ABA MI LLC
Practice Location Address:

1760 ABBEY RD FL 2
EAST LANSING, MI
48823-7301

Practice Phone: 347-454-6140
Practice Fax:

1326972050 — TYLER PIERCE PTA
Practice Location Address:

2205 ABBOTT RD STE B
EAST LANSING, MI
48823-1468

Practice Phone: 517-483-2734
Practice Fax: 517-483-2840

Directions to “ CORALEA CARROLL PITKIN MSOT, OTRL” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.