Individual
DESIREE LYNN CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 EDELLA RD, SOUTH ABINGTON TOWNSHIP, PA 18411-1628
(570) 586-1002
Mailing address
404 EAGLE DR, EMMAUS, PA 18049-1927
(215) 850-9486
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008636
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP008636
COTA/L
PA
Enumeration date
03/14/2018
Last updated
03/14/2018
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