Provider Demographics
NPI:1407046790
Name:SCHARFENBERG, CAROL PARKER (MAOTR)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:PARKER
Last Name:SCHARFENBERG
Suffix:
Gender:F
Credentials:MAOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6684 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9626
Mailing Address - Country:US
Mailing Address - Phone:269-629-4559
Mailing Address - Fax:
Practice Address - Street 1:6684 N 35TH ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-9626
Practice Address - Country:US
Practice Address - Phone:269-629-4559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002848225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist