Provider Demographics
NPI:1780888016
Name:FERRO, CARRIE ELIZABETH (OTR)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ELIZABETH
Last Name:FERRO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GEORGETOWN CT
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-3077
Mailing Address - Country:US
Mailing Address - Phone:478-471-0859
Mailing Address - Fax:
Practice Address - Street 1:770 BACONSFIELD DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-1400
Practice Address - Country:US
Practice Address - Phone:478-841-2644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004461225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics