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NPI Code Detail

MEDICARE: KARRIE MARIE MEYERS MS OTRL

MEDICARE: KARRIE MARIE MEYERS MS OTRL
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
1225X00000XOccupational Therapist5201009299MI

General Provider Information

NPI Number : 1518453307
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARRIE MARIE MEYERS MS OTRL
Provider Business Mailing Address
First Line : 23505 DONALDSON ST
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-4321
Country : US
Telephone Number : 906-399-7707
Fax Number :
Provider Business Practice Location Address
First Line : 12250 E 12 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48093-3516
Country : US
Telephone Number : 586-571-1018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 07/05/2018

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