Individual
DR. CARRIE MARIE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTD
Contact information
Practice address
950 OFFICE PARK RD STE 100, WEST DES MOINES, IA 50265-2548
(515) 224-0979
Mailing address
405 SE 11TH ST, ANKENY, IA 50021-3707
(980) 939-4795
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002067
IA
225XP0200X
Pediatric Occupational Therapist
Primary
12507
FL
225XP0200X
Pediatric Occupational Therapist
6736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891722100
—
FL
Enumeration date
02/19/2007
Last updated
10/21/2011
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