Individual ProviderCarol Michelle PersoniusOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address873 NE 7th St, Grants Pass, OR 97526-1634(541) 479-7573PECOS EnrollmentBased on the most recent information from CMS, provider Carol Michelle Personius does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336475458Provider TypeIndividualFull NamePersonius, Carol MichelleCredentialO.T.R./LGenderFemaleSole ProprietorNoEnumeration Date10/23/2009Last Updated10/23/2009Contact InformationPractice LocationPractice Address873 NE 7th St, Grants Pass, OR 97526-1634Phone(541) 479-7573FaxUnlisted FaxMailing LocationMailing Address911 Granite Hill Rd, Grants Pass, OR 97526-7895Phone(541) 479-7573FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense976389Oregon