MEDICARE: MS. CARRIE FRANCES SHRIVER 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
1	225X00000X	Occupational Therapist	OT16691	FL

General Provider Information

NPI Number	:	1831324201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARRIE FRANCES SHRIVER OTR/L

Provider Business Mailing Address
First Line	:	17211 DEER RUN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-2254
Country	:	US
Telephone Number	:	423-802-2906
Fax Number	:

Provider Business Practice Location Address
First Line	:	17211 DEER RUN DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32820-2254
Country	:	US
Telephone Number	:	423-802-2906
Fax Number	:

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

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	07/21/2022

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