Individual
ROGER EARL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
5724 ENSIGN RD, WEST FARMINGTON, OH 44491-9721
(440) 548-2745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005255
OH
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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