Provider Demographics
NPI:1699277491
Name:ERRER, CARRIE L (OT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:ERRER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 S ELM ST STE 116
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2649
Mailing Address - Country:US
Mailing Address - Phone:989-723-9488
Mailing Address - Fax:989-725-0134
Practice Address - Street 1:317 S ELM ST STE 116
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-2649
Practice Address - Country:US
Practice Address - Phone:989-723-9488
Practice Address - Fax:989-725-0134
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000924225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist