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NPI Code Detail

MEDICARE: MICHELLE MCCARTY

MEDICARE: MICHELLE MCCARTY
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
1224Z00000XOccupational Therapy Assistant211811TX

General Provider Information

NPI Number : 1194206227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MCCARTY
Provider Business Mailing Address
First Line : 395 WATERS VIEW CT
Second Line :
City : DRIPPING SPRINGS
State : TX
Zip : 78620-2118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11127 CIRCLE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78736-7767
Country : US
Telephone Number : 512-288-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 08/27/2018

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Directions to “ MICHELLE MCCARTY ” Practice Location

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