Provider Demographics
NPI:1639430887
Name:MEADOWCROFT, CARRIE F (OT, CHT)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:F
Last Name:MEADOWCROFT
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:F
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT, CHT
Mailing Address - Street 1:1292 HIGH STREET
Mailing Address - Street 2:SUITE 224
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3238
Mailing Address - Country:US
Mailing Address - Phone:541-345-8760
Mailing Address - Fax:541-345-8763
Practice Address - Street 1:598 E. 13TH AVENUE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-636-3473
Practice Address - Fax:541-636-3480
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR983968225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand