IndividualActive
Carrie Jacobs, MBA, OTRL, C/NDT
NPI 1700946142 · Pediatric Occupational Therapist · Whitmore Lake, MI
Provider details
- NPI number
- 1700946142
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MBA, OTRL, C/NDT
- Sex
- Female
- Sole proprietor
- No
- License
- 5201004063 (MI)
Practice location
11930 Whitmore Lake Rd.
Suite I-M
Whitmore Lake, MI 48189
Phone: (734) 449-4649
Fax: (734) 449-4669
Mailing address
11930 Whitmore Lake Rd.
Whitmore Lake, MI 48189
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2013-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.