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NPI Code Detail

MEDICARE: RENEE K CARMICHAEL OTA

MEDICARE: RENEE K CARMICHAEL OTA
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 Assistant8999NC

General Provider Information

NPI Number : 1235748393
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE K CARMICHAEL OTA
Provider Business Mailing Address
First Line : 14005 PROMENADE DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-6684
Country : US
Telephone Number : 704-274-5980
Fax Number :
Provider Business Practice Location Address
First Line : 102 LEONARD AVE
Second Line :
City : NEWTON
State : NC
Zip : 28658-9649
Country : US
Telephone Number : 828-464-8260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2020
Last Update Date : 07/24/2020

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Directions to “ RENEE K CARMICHAEL OTA” Practice Location

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