Provider Demographics
NPI:1164000386
Name:MAPLES, CARTER (OTR/L, OTD)
Entity Type:Individual
Prefix:
First Name:CARTER
Middle Name:
Last Name:MAPLES
Suffix:
Gender:M
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 MARSHALL ROAD
Mailing Address - Street 2:
Mailing Address - City:FORT BLISS
Mailing Address - State:AA
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7014 E PASTURE LN
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-9217
Practice Address - Country:US
Practice Address - Phone:419-356-1439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist