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Individual
CARRIE ANN WERTH
Active
Individual
CARRIE ANN WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002408
IA
225X00000X
Occupational Therapist
Primary
0931
SD
225X00000X
Occupational Therapist
1693
NE
Other
Enumeration date
05/15/2015
Last updated
05/21/2015
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