Provider Demographics
NPI:1275076184
Name:GIDDINGS, CARRINGTON (COTA)
Entity Type:Individual
Prefix:
First Name:CARRINGTON
Middle Name:
Last Name:GIDDINGS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56926 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SABULA
Mailing Address - State:IA
Mailing Address - Zip Code:52070-9346
Mailing Address - Country:US
Mailing Address - Phone:563-652-2474
Mailing Address - Fax:
Practice Address - Street 1:700 W GROVE ST
Practice Address - Street 2:
Practice Address - City:MAQUOKETA
Practice Address - State:IA
Practice Address - Zip Code:52060-2163
Practice Address - Country:US
Practice Address - Phone:563-652-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084538225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist