Healthcare Provider Details

I. General information

NPI: 1851347991
Provider Name (Legal Business Name): NATALIE CARR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12608 SW 88TH ST
MIAMI FL
33186-1867
US

IV. Provider business mailing address

4570 SW 128TH AVE
MIAMI FL
33175-4610
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-4177
  • Fax:
Mailing address:
  • Phone: 786-493-2932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number11343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: