Provider Demographics
NPI:1831262419
Name:CARTER, MAURI DOWNUM (MS OTR)
Entity type:Individual
Prefix:MS
First Name:MAURI
Middle Name:DOWNUM
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:MS
Other - First Name:MAURI
Other - Middle Name:LYNN
Other - Last Name:DOWNUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR
Mailing Address - Street 1:1532 BEN CRENSHAW WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6161
Mailing Address - Country:US
Mailing Address - Phone:512-423-3701
Mailing Address - Fax:
Practice Address - Street 1:1532 BEN CRENSHAW WAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6161
Practice Address - Country:US
Practice Address - Phone:512-423-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107789225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist