Provider Demographics
NPI:1194186882
Name:CRAWFORD, CARRIE R (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:R
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:R
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:700 HILLSIDE DR APT 33
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8446
Mailing Address - Country:US
Mailing Address - Phone:231-838-7779
Mailing Address - Fax:
Practice Address - Street 1:347 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8676
Practice Address - Country:US
Practice Address - Phone:231-487-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBEING ISSUED225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist