Healthcare Provider Details

I. General information

NPI: 1013799238
Provider Name (Legal Business Name): JOBI MCCARTHY OTD, OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

836 CENTENNIAL WAY STE 160
LANSING MI
48917-8238
US

IV. Provider business mailing address

836 CENTENNIAL WAY STE 160
LANSING MI
48917-8238
US

V. Phone/Fax

Practice location:
  • Phone: 517-798-3677
  • Fax:
Mailing address:
  • Phone: 517-798-3677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: