Provider Demographics
NPI:1477388932
Name:FLOWERS, CARRIE ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SAWTOOTH DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3108
Mailing Address - Country:US
Mailing Address - Phone:334-796-2955
Mailing Address - Fax:
Practice Address - Street 1:552 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-4060
Practice Address - Country:US
Practice Address - Phone:334-242-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6364225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist