Individual
CARISSA ANGELIQUE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 E CAMINO DEL PINSAPO, SAHUARITA, AZ 85629-8739
(520) 599-3807
Mailing address
300 E CAMINO DEL PINSAPO, SAHUARITA, AZ 85629-8739
(520) 599-3807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-000025
AZ
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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