Provider Demographics
NPI:1427216373
Name:ROWE, CAROL MARIE (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:MARIE
Last Name:ROWE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MRS
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:ROWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26650 WAYNE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106
Mailing Address - Country:US
Mailing Address - Phone:605-361-1466
Mailing Address - Fax:
Practice Address - Street 1:26650 WAYNE AVENUE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106
Practice Address - Country:US
Practice Address - Phone:605-361-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD00023225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist