Provider Demographics
NPI:1538057070
Name:WARBINGTON, MARY CARLY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CARLY
Last Name:WARBINGTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CARLY
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:603 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-2357
Mailing Address - Country:US
Mailing Address - Phone:770-713-7564
Mailing Address - Fax:
Practice Address - Street 1:1854 AUBURN RD
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1130
Practice Address - Country:US
Practice Address - Phone:770-904-6009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT009549225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist