MEDICARE: CARLA'S CARING OT, P.C.

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
1	252Y00000X	Early Intervention Provider Agency	019645	NY

General Provider Information

NPI Number	:	1821593740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLA'S CARING OT, P.C.

Provider Business Mailing Address
First Line	:	21946 74TH AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3032
Country	:	US
Telephone Number	:	347-724-6398
Fax Number	:

Provider Business Practice Location Address
First Line	:	21946 74TH AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3032
Country	:	US
Telephone Number	:	347-724-6398
Fax Number	:

Authorized Official
Title or Position	:	OCUPATIONAL THERAPIST
Name	:	MS. CARLA DUNCOMBE
Credential	:	OTR/L
Telephone Number	:	347-724-6398

Provider Enumeration Date	:	03/25/2018
Last Update Date	:	03/25/2018

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