Basic Information
Provider Information
NPI: 1891957809
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEEVES-BRAUN
FirstName: CARRIE
MiddleName: ANNE
NamePrefix: MRS.
NameSuffix:  
Credential: MOT, OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STEEVES
OtherFirstName: CARRIE
OtherMiddleName: ANNE
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential: MOT,OTR/L
OtherLastNameType: 1
Mailing Information
Address1: 1162 PADDOCK PL
Address2: #106
City: ANN ARBOR
State: MI
PostalCode: 481082817
CountryCode: US
TelephoneNumber: 4404783578
FaxNumber:  
Practice Location
Address1: 1930 WHITMORE LAKE RD #1
Address2:  
City: WHITMORE LAKE
State: MI
PostalCode: 48189
CountryCode: US
TelephoneNumber: 7344494649
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/30/2008
LastUpdateDate: 09/15/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X5201007487MIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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