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NPI Code Detail

MEDICARE: KELLY ANNE-CARR NIGRINE OT

MEDICARE: KELLY ANNE-CARR NIGRINE OT
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 Therapist5201002522MI

General Provider Information

NPI Number : 1831134410
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ANNE-CARR NIGRINE OT
Provider Business Mailing Address
First Line : 1221 PLEASANTVIEW DR
Second Line :
City : FLUSHING
State : MI
Zip : 48433-2802
Country : US
Telephone Number : 810-659-4946
Fax Number :
Provider Business Practice Location Address
First Line : 420 W 5TH AVE
Second Line :
City : FLINT
State : MI
Zip : 48503-2445
Country : US
Telephone Number : 810-257-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 07/08/2007

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Directions to “ KELLY ANNE-CARR NIGRINE OT” Practice Location

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