Pierce, Carolyn Grace

Pierce, Carolyn Grace is an individual health care provider with primary practice located at 803 Roosevelt Ave Suite 301, Detroit Lakes MN 56501-3744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Pierce, Carolyn Grace can be contacted via phone (218) 844-5555.

Contact Information

Primary practice address
803 Roosevelt Ave Suite 301 Detroit Lakes MN 56501-3744
Phone: (218) 844-5555
Fax: (218) 844-6057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102049 Minnesota

Profile Details

NPI number 1235174202
LBN Legal business name Pierce, Carolyn Grace
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235174202 NPPES
Minnesota Other 2109395 FIRST HEALTH
Minnesota Other 64-04595 FIRST HEALTH
Minnesota Other P00086020 FIRST HEALTH
Minnesota Other 005J1PI FIRST HEALTH

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