Mrs. Caroline Elizabeth Homer
Occupational Therapist
4962 Falcon Wood Ct
Marietta
, Georgia 30066-1283
Mrs. Caroline Elizabeth Homer
Occupational Therapist
4962 Falcon Wood Ct
Marietta
, Georgia 30066-1283
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Caroline Elizabeth Homer
- 4962 Falcon Wood Ct
- Marietta, GA
- Zip : 30066-1283
- Phone :
Second Address
- Mrs. Caroline Elizabeth Homer
- 4962 Falcon Wood Ct
- Marietta, GA
- Zip : 30066-1283
- Phone : (404) 617-0428
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT008120 | GA |
National Provider Identifier
| NPI | 1003580143 |
|---|---|
| Provider Name | Mrs. Caroline Elizabeth Homer |
| First Address | Marietta, GA 30066-1283 |
| Second Address | Marietta, GA 30066-1283 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2021 |
| Last Update Date | 09/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1891109831 | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.