Provider Demographics
NPI:1003840489
Name:CARMICHAEL, CARLA JANITA (CTRS)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:JANITA
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:CTRS
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Mailing Address - Street 1:3305 PEDDICOAT CT
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:MD
Mailing Address - Zip Code:21163-1138
Mailing Address - Country:US
Mailing Address - Phone:410-922-0587
Mailing Address - Fax:410-605-7686
Practice Address - Street 1:3900 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2108
Practice Address - Country:US
Practice Address - Phone:410-605-7550
Practice Address - Fax:410-605-7686
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist