Provider Demographics
NPI:1437302304
Name:PAULSEN, CARRIE KAY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:KAY
Last Name:PAULSEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3235 WILLIAMS PKWY SW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-1427
Mailing Address - Country:US
Mailing Address - Phone:319-364-2311
Mailing Address - Fax:319-364-9828
Practice Address - Street 1:3235 WILLIAMS PKWY SW
Practice Address - Street 2:SUITE 1
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1427
Practice Address - Country:US
Practice Address - Phone:319-364-2311
Practice Address - Fax:319-364-9828
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01295225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist